Individual provider Active NPI

Iad Bakir, D.D.S.

  • Dentist
  • Fall River, MA
National Provider Identifier
1366702573
Registry record updated Apr 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DL13506 Issued in MA
Practice address
387 Quarry Street
Suite 100
Fall River, MA 02723-1007
Phone
(508) 679-8111
Fax
(774) 888-0042
NPI assigned
May 22, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DL13506 MA Primary

Addresses

Primary practice location

387 Quarry Street
Suite 100
Fall River, MA 02723-1007

Mailing address

387 Quarry Street
Suite 100
Fall River, MA 02723-1007
Phone (508) 679-8111

Other names 1

  • Ahmad Iad Bakir Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140115001701 OH Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 2365670577
I20160120001528 MA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 2365670577

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DL13506MAMDDentist

Networks

  • Freedom Health HMO Network

NPI Registry JSON

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

{
    "created_epoch": "1337644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522886400000",
    "number": "1366702573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "387 QUARRY STREET",
            "address_2": "SUITE 100",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027231007",
            "telephone_number": "508-679-8111",
            "fax_number": "774-888-0042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "387 QUARRY STREET",
            "address_2": "SUITE 100",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027231007",
            "telephone_number": "508-679-8111",
            "fax_number": "774-888-0042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKIR",
        "first_name": "IAD",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-22",
        "last_updated": "2018-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DL13506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AHMAD",
            "last_name": "BAKIR",
            "middle_name": "IAD",
            "credential": "D.D.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fall River, MA

Sources for this page

Verify at the official NPI Registry.