NPIMap

Organization Active NPI

Worcester Dentist Group PC

  • General Practice Dentistry
  • Worcester, MA
National Provider Identifier
1376927848
Registry record updated Jul 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
21135 Issued in MA
Legal business name
WORCESTER DENTIST GROUP PC
Practice address
255 Park Ave Ste 804
Worcester, MA 01609-1984
Phone
(508) 755-6359
Fax
(508) 459-5277
NPI assigned
Jul 15, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2015

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

Authorized official

Name
Dr. Ammar Bash, D.M.D
Title
Owner/Dentist
Phone
(781) 526-5042

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 21135 MA Primary

Addresses

Primary practice location

255 Park Ave Ste 804
Worcester, MA 01609-1984

Mailing address

255 Park Ave Ste 804
Worcester, MA 01609-1984
Phone (508) 755-6359

National Provider Directory

National Provider Directory

Locations

255 Park Ave
Ste 804
Worcester, MA 01609
Phone (508) 756-5400

NPI Registry JSON

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

{
    "created_epoch": "1436918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436918400000",
    "number": "1376927848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 PARK AVE STE 804",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016091984",
            "telephone_number": "508-755-6359",
            "fax_number": "508-459-5277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 PARK AVE STE 804",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016091984",
            "telephone_number": "508-755-6359",
            "fax_number": "508-459-5277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WORCESTER DENTIST GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-15",
        "last_updated": "2015-07-15",
        "status": "A",
        "authorized_official_last_name": "BASH",
        "authorized_official_first_name": "AMMAR",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "781-526-5042",
        "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": "21135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2015; 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.