Grace Hannawi-Tadros

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DN1857616 Issued in MA

Practice address

4 Alice Bradley LN
Foxboro, MA 02035-1467

Phone

(617) 365-2246

NPI assigned

Mar 20, 2017

Last updated

Oct 23, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1489968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571788800000",
    "number": "1285175497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 ALICE BRADLEY LN",
            "city": "FOXBORO",
            "state": "MA",
            "postal_code": "020351467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 ALICE BRADLEY LN",
            "city": "FOXBORO",
            "state": "MA",
            "postal_code": "020351467",
            "telephone_number": "617-365-2246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNAWI-TADROS",
        "first_name": "GRACE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-20",
        "last_updated": "2019-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MA",
            "license": "DN1857616",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1857616",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Robert Green, M.D.
• Meagan Greene
• Mary T Griffin, MSN
• Marion Miller Hamilton, O.T.R.
• Kimberly Hanley
• Cristina Hantavis
• Kevin Michael Harkins, PH.D.
• Lindsey Marie Hayden
• Alison Hayes, PTA
• Joshua Hendrickson, PHARMD

• Pediatric Dentistry in Foxboro, MA
• Providers in Foxboro, MA by specialty
• Pediatric Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.