Active NPI
Lina A Al-Aswad, DMD
- Pediatric Dentistry
- Somerville, MA
National Provider Identifier
1457454035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 19750
- Practice address
- 1133 Broadway
Somerville, MA 02144 - Phone
- (617) 625-3636
- Fax
- (617) 625-6997
- NPI assigned
- Sep 7, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 19750 | MA | Primary |
Addresses
Primary practice location
1133 Broadway
Somerville, MA 02144
Mailing address
1133 Broadway
Somerville, MA 02144
Phone (617) 625-3636
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9715011 | Other | MA | MASS HEALTH |
| 0297968 | Other | MA | MASS HEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lina Al-Aswad , DMD, PC | Past | Accepting new patients |
Interoperability endpoints
- lalaswad244661@direct.bostonchildrens.org
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1457454035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1133 BROADWAY",
"city": "SOMERVILLE",
"state": "MA",
"postal_code": "02144",
"telephone_number": "617-625-3636",
"fax_number": "617-625-6997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1133 BROADWAY",
"city": "SOMERVILLE",
"state": "MA",
"postal_code": "02144",
"telephone_number": "617-625-3636",
"fax_number": "617-625-6997"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AL-ASWAD",
"first_name": "LINA",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "MA",
"license": "19750",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASS HEALTH",
"identifier": "9715011",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASS HEALTH",
"identifier": "0297968",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Somerville, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.