Active NPI
Swati Malik
- General Practice Dentistry
- South Weymouth, MA
National Provider Identifier
1437654399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN1857858
- Practice address
- 174 Stonehaven Dr
South Weymouth, MA 02190 - Phone
- (205) 492-7372
- NPI assigned
- Mar 24, 2018
- Last updated
- Mar 24, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN1857858 | MA | Primary |
Addresses
Primary practice location
174 Stonehaven Dr
South Weymouth, MA 02190
Mailing address
601 Pleasant Street
Brockton, MA 02301
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180430000747 | MA | Order and Referring Only - Dentist | 9133483191 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN1857858 | MA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521849600000",
"number": "1437654399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 PLEASANT STREET",
"city": "BROCKTON",
"state": "MA",
"postal_code": "02301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "174 STONEHAVEN DR",
"city": "SOUTH WEYMOUTH",
"state": "MA",
"postal_code": "02190",
"telephone_number": "205-492-7372"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALIK",
"first_name": "SWATI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-03-24",
"last_updated": "2018-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MA",
"license": "DN1857858",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Weymouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.