Organization Active NPI

Zena Al-Adeeb DMD PC

  • Endodontics
  • Brookline, MA
National Provider Identifier
1447795141
Registry record updated Jan 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
21232 Issued in MA
Legal business name
ZENA AL-ADEEB DMD PC
Practice address
1540 Beacon St
Brookline, MA 02446-2215
Phone
(617) 935-1953
NPI assigned
Jan 4, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2017

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

Authorized official

Name
Zena Al-Adeeb
Title
Endodontist
Phone
(617) 935-1953

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X 21232 MA Primary

Addresses

Primary practice location

1540 Beacon St
Brookline, MA 02446-2215

Mailing address

1540 Beacon Street
Brookline, MA 02467
UM

National Provider Directory

National Provider Directory

Locations

1540 Beacon St
Brookline, MA 02446
Phone (617) 566-2756

NPI Registry JSON

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

{
    "created_epoch": "1483488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483574400000",
    "number": "1447795141",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "1540 BEACON STREET",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "02467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 BEACON ST",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024462215",
            "telephone_number": "617-935-1953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZENA AL-ADEEB DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-04",
        "last_updated": "2017-01-05",
        "status": "A",
        "authorized_official_last_name": "AL-ADEEB",
        "authorized_official_first_name": "ZENA",
        "authorized_official_title_or_position": "ENDODONTIST",
        "authorized_official_telephone_number": "617-935-1953"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "MA",
            "license": "21232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookline, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2017; 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.