Active NPI
Mina Dental Associates
- General Practice Dentistry
- Gloucester, MA
National Provider Identifier
1346364494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 20439
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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 DirectoryLocations
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.
-
- General Practice Dentistry
- Gloucester, MA
- NPI 1730346354
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.