Active NPI
Aina William Anibaba, DDS, MBA
- Dentist
- Lynn, MA
National Provider Identifier
1255793733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DL12833
- Practice address
- 269 Union St
2ND Floor Dental
Lynn, MA 01901-1314 - Phone
- (781) 581-9832
- Fax
- (781) 581-9583
- NPI assigned
- Mar 24, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DL12833 | MA | Primary |
Addresses
Primary practice location
269 Union St
2ND Floor Dental
Lynn, MA 01901-1314
Mailing address
269 Union St
2ND Floor Dental
Lynn, MA 01901-1314
Phone (781) 581-9832
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161027002355 | MA | Order and Referring Only - Other (Non-Physician) | 5597043414 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Business Administration
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458777600000",
"number": "1255793733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "269 UNION ST",
"address_2": "2ND FLOOR DENTAL",
"city": "LYNN",
"state": "MA",
"postal_code": "019011314",
"telephone_number": "781-581-9832",
"fax_number": "781-581-9583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "269 UNION ST",
"address_2": "2ND FLOOR DENTAL",
"city": "LYNN",
"state": "MA",
"postal_code": "019011314",
"telephone_number": "781-581-9832",
"fax_number": "781-581-9583"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANIBABA",
"first_name": "AINA",
"middle_name": "WILLIAM",
"credential": "DDS, MBA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-03-24",
"last_updated": "2016-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "DL12833",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lynn, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.