Bassam Jamous,LLC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

21922 Issued in MA

Legal business name

BASSAM JAMOUS,LLC

Practice address

126A Pleasant Valley St
Suite 1,2
Methuen, MA 01844-7217

Phone

(978) 688-5646

Fax

(978) 688-5647

NPI assigned

Oct 10, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Bassam El-Jamous, DMD

Title

Periodontist

Phone

(978) 688-5646

Specialties & licenses 1

Addresses

Other names 1

• Pleasant periodontics Doing business as

Locations

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

{
    "created_epoch": "1381363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382054400000",
    "number": "1457788200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126A PLEASANT VALLEY ST",
            "address_2": "SUITE 1,2",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018447217",
            "telephone_number": "978-688-5646",
            "fax_number": "978-688-5647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126A PLEASANT VALLEY ST",
            "address_2": "SUITE 1,2",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018447217",
            "telephone_number": "978-688-5646",
            "fax_number": "978-688-5647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASSAM JAMOUS,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-10",
        "last_updated": "2013-10-18",
        "status": "A",
        "authorized_official_last_name": "EL-JAMOUS",
        "authorized_official_first_name": "BASSAM",
        "authorized_official_title_or_position": "PERIODONTIST",
        "authorized_official_telephone_number": "978-688-5646",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "MA",
            "license": "21922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pleasant periodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Methuen, MA
• Periodontics in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2013; 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.