Organization Active NPI

Kaga Dental Group PC

  • Dentist
  • Lunenburg, MA
National Provider Identifier
1306490602
Registry record updated Jul 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
KAGA DENTAL GROUP PC
Practice address
585 Massachusetts Ave
Lunenburg, MA 01462-1305
Phone
(978) 293-5593
NPI assigned
Jul 25, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2019

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

Authorized official

Name
Dr. Abdul Rahman Addas, DMD
Title
General Dentist
Phone
(513) 560-0858

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

585 Massachusetts Ave
Lunenburg, MA 01462-1305

Mailing address

585 Massachusetts Ave
Lunenburg, MA 01462-1305

Other names 1

  • Todays Dental of Lunenburg Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1564012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564012800000",
    "number": "1306490602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 MASSACHUSETTS AVE",
            "city": "LUNENBURG",
            "state": "MA",
            "postal_code": "014621305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 MASSACHUSETTS AVE",
            "city": "LUNENBURG",
            "state": "MA",
            "postal_code": "014621305",
            "telephone_number": "978-293-5593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAGA DENTAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-25",
        "last_updated": "2019-07-25",
        "status": "A",
        "authorized_official_last_name": "ADDAS",
        "authorized_official_first_name": "ABDUL RAHMAN",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "513-560-0858",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Todays Dental of Lunenburg",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lunenburg, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.