Nabil M Alsourani, B.D.S

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DL10508 Issued in MA

Practice address

1 Kneeland St
Boston, MA 02111-1527

Phone

(617) 636-6531

NPI assigned

Jan 15, 2009

Last updated

Jan 15, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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": "1231977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231977600000",
    "number": "1285871004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920 MYSTIC VALLEY PKWY",
            "address_2": "APARTMENT # 517",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021556912",
            "telephone_number": "781-475-2778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 KNEELAND ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021111527",
            "telephone_number": "617-636-6531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALSOURANI",
        "first_name": "NABIL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "B.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-15",
        "last_updated": "2009-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MA",
            "license": "DL10508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yousef Alshumrani, MD
• Emad Alshwiami
• Ahmed Alsolami, MBBS
• Majd Alsoubani
• Loai A Alsoufi, B.D.S.
• Erin L J Alston, MD
• Kathryn Alston, LMFT
• Rochester Alston, DMD
• Theodore A Alston, MD PHD
• Mona A Alsulaiman

• Periodontics in Boston, MA
• Providers in Boston, MA by specialty
• Periodontics in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2009; 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.