Individual provider Active NPI

Amjad Kinjawi, D.M.D

  • Dentist
  • North Attleboro, MA
National Provider Identifier
1356760896
Registry record updated Apr 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
19838 Issued in MA
Practice address
380 Elm St Ste 5
North Attleboro, MA 02760-6739
Phone
(508) 399-8800
Fax
(508) 399-7744
NPI assigned
Apr 14, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 19838 MA Primary

Addresses

Primary practice location

380 Elm St Ste 5
North Attleboro, MA 02760-6739

Mailing address

380 Elm St Ste 5
North Attleboro, MA 02760-3314
Phone (508) 399-8800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
19838MAMDDentist

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13660/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1397433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619049600000",
    "number": "1356760896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 ELM ST STE 5",
            "city": "NORTH ATTLEBORO",
            "state": "MA",
            "postal_code": "027603314",
            "telephone_number": "508-399-8800",
            "fax_number": "508-399-7744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 ELM ST STE 5",
            "city": "NORTH ATTLEBORO",
            "state": "MA",
            "postal_code": "027606739",
            "telephone_number": "508-399-8800",
            "fax_number": "508-399-7744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINJAWI",
        "first_name": "AMJAD",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-14",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "19838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Attleboro, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; 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.