Active NPI
Mahmoud El Hadidy, DMD, PHD, PC
Doing business as Back Bay Oral& Maxillofacial Surgery
- Oral and Maxillofacial Surgery Clinic/Center
- Boston, MA
National Provider Identifier
1265568174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery Clinic/Center
- License
- 19353
- Legal business name
- MAHMOUD EL HADIDY, DMD, PHD, PC
- Doing business as
- Back Bay Oral& Maxillofacial Surgery
- Practice address
- 311 Commonwealth Ave
Suite 10
Boston, MA 02115-1926 - Phone
- (617) 267-4777
- Fax
- (617) 267-1277
- NPI assigned
- Feb 26, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mahmoud A El Hadidy, DMD, PHD
- Title
- President
- Phone
- (617) 267-4777
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery Clinic/Center | 261QS0112X | 19353 | MA | Primary |
Addresses
Primary practice location
311 Commonwealth Ave
Suite 10
Boston, MA 02115-1926
Mailing address
311 Commonwealth Ave
Suite 10
Boston, MA 02115-1926
Phone (617) 267-4777
Other names 1
- Back Bay Oral& Maxillofacial Surgery
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Oral and Maxillofacial Surgery (Dentist)
- Boston, MA
- NPI 1851760029
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1265568174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 COMMONWEALTH AVE",
"address_2": "SUITE 10",
"city": "BOSTON",
"state": "MA",
"postal_code": "021151926",
"telephone_number": "617-267-4777",
"fax_number": "617-267-1277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 COMMONWEALTH AVE",
"address_2": "SUITE 10",
"city": "BOSTON",
"state": "MA",
"postal_code": "021151926",
"telephone_number": "617-267-4777",
"fax_number": "617-267-1277"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAHMOUD EL HADIDY, DMD, PHD, PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-26",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "EL HADIDY",
"authorized_official_first_name": "MAHMOUD",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "617-267-4777",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD, PHD"
},
"taxonomies": [
{
"code": "261QS0112X",
"taxonomy_group": "",
"desc": "Clinic/Center, Oral and Maxillofacial Surgery",
"state": "MA",
"license": "19353",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Back Bay Oral& Maxillofacial Surgery",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.