Individual provider Active NPI

Hamdy Talaat Mohammed Morsy

  • Dentist
  • Somerville, MA
National Provider Identifier
1285301804
Registry record updated Aug 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN1859100 Issued in MA
Practice address
341 Summer St
Somerville, MA 02144-3141
Phone
(617) 625-9400
Fax
(617) 625-9401
NPI assigned
Aug 23, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN1859100 MA Primary

Addresses

Primary practice location

341 Summer St
Somerville, MA 02144-3141

Mailing address

4 Kimball CT Apt 406
Woburn, MA 01801-6969
Phone (917) 705-4586

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: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220113000898 MA Order and Referring Only - DentistPractitioner - Dentist 8224420740

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN1859100MAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
La Clinica de Los Campesinos, Inc Dentist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1629676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1285301804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 KIMBALL CT APT 406",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018016969",
            "telephone_number": "917-705-4586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 SUMMER ST",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021443141",
            "telephone_number": "617-625-9400",
            "fax_number": "617-625-9401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAMMED MORSY",
        "first_name": "HAMDY",
        "middle_name": "TALAAT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-23",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1859100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerville, MA

Sources for this page

Verify at the official NPI Registry.