Organization Active NPI

Mina Dental Associates

  • General Practice Dentistry
  • Gloucester, MA
National Provider Identifier
1346364494
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
20439 Issued in MA
Legal business name
MINA DENTAL ASSOCIATES
Practice address
94 Prospect St
Gloucester, MA 01930-3710
Phone
(978) 283-1692
NPI assigned
Mar 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2008

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

Authorized official

Name
Dr. A Michael Sarraf, D.M.D.
Title
Dentist
Phone
(978) 283-1692

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 20439 MA Primary

Addresses

Primary practice location

94 Prospect St
Gloucester, MA 01930-3710

Mailing address

94 Prospect St
Gloucester, MA 01930-3710
Phone (978) 283-1692

National Provider Directory

National Provider Directory

Locations

94 Prospect St
Gloucester, MA 01930
Phone (978) 283-1692

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1346364494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 PROSPECT ST",
            "city": "GLOUCESTER",
            "state": "MA",
            "postal_code": "019303710",
            "telephone_number": "978-283-1692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 PROSPECT ST",
            "city": "GLOUCESTER",
            "state": "MA",
            "postal_code": "019303710",
            "telephone_number": "978-283-1692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINA DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "SARRAF",
        "authorized_official_first_name": "A",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "978-283-1692",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "20439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gloucester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.