Active NPI
Simply Dental of Braintree PLLC
- Dental Clinic/Center
- Braintree, MA
National Provider Identifier
1376018705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- SIMPLY DENTAL OF BRAINTREE PLLC
- Practice address
- 10 Forbes Rd
Braintree, MA 02184-2605 - Phone
- (508) 589-8270
- NPI assigned
- Oct 12, 2018
- 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
- Houssam Alkhoury
- Title
- Owner
- Phone
- (508) 589-8270
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
10 Forbes Rd
Braintree, MA 02184-2605
Mailing address
87 Elm St Ste 302
Hopkinton, MA 01748-1638
Phone (508) 589-8270
Other practice location 1
545 Washington St
Braintree, MA 02184-5627
Phone (508) 589-3400
National Provider Directory
National Provider DirectoryLocations
545 Washington St
Braintree, MA 02184
Phone (508) 589-3400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539302400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1596758400000",
"number": "1376018705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "87 ELM ST STE 302",
"city": "HOPKINTON",
"state": "MA",
"postal_code": "017481638",
"telephone_number": "508-589-8270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 FORBES RD",
"city": "BRAINTREE",
"state": "MA",
"postal_code": "021842605",
"telephone_number": "508-589-8270"
}
],
"practiceLocations": [
{
"address_1": "545 Washington St",
"address_purpose": "LOCATION",
"city": "Braintree",
"state": "MA",
"postal_code": "021845627",
"country_code": "US",
"telephone_number": "508-589-3400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "SIMPLY DENTAL OF BRAINTREE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-10-12",
"last_updated": "2020-08-07",
"certification_date": "2020-08-07",
"status": "A",
"authorized_official_last_name": "ALKHOURY",
"authorized_official_first_name": "HOUSSAM",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "508-589-8270"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Braintree, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.