NPIMap

Organization Active NPI

Ghada S. Massabni

  • General Practice Dentistry
  • Woburn, MA
National Provider Identifier
1336317155
Registry record updated Feb 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
18266 Issued in MA
Legal business name
GHADA S. MASSABNI
Practice address
576 Main St
Woburn, MA 01801-2997
Phone
(781) 935-2200
Fax
(781) 933-1999
NPI assigned
Feb 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2008

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

Authorized official

Name
Dr. Ghada Souhel Massabni, D.D.S.
Title
President
Phone
(781) 935-2200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 18266 MA Primary

Addresses

Primary practice location

576 Main St
Woburn, MA 01801-2997

Mailing address

576 Main St
Woburn, MA 01801-2997
Phone (781) 935-2200

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1202947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202947200000",
    "number": "1336317155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "576 MAIN ST",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018012997",
            "telephone_number": "781-935-2200",
            "fax_number": "781-933-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "576 MAIN ST",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018012997",
            "telephone_number": "781-935-2200",
            "fax_number": "781-933-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GHADA S. MASSABNI",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-14",
        "last_updated": "2008-02-14",
        "status": "A",
        "authorized_official_last_name": "MASSABNI",
        "authorized_official_first_name": "GHADA",
        "authorized_official_middle_name": "SOUHEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-935-2200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "18266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woburn, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2008; 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.