Active NPI
Mohammad Hassan Barra, D.M.D.
- Dentist
- Brockton, MA
National Provider Identifier
1477008951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN1857380
- Practice address
- 698 Crescent St
Brockton, MA 02302-3360 - Phone
- (508) 583-2256
- NPI assigned
- Aug 24, 2016
- Last updated
- Aug 24, 2016
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | DN1857380 | MA | Primary |
Addresses
Primary practice location
698 Crescent St
Brockton, MA 02302-3360
Mailing address
1 Charles St S Unit 802
Boston, MA 02116-5454
Phone (571) 449-7198
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN1857380 | MA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ab Dental Solutions | Current | Accepting new patients | |
| Dental Dreams, LLC | Dentist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Practice Dentistry
- Andover, MA
- NPI 1538007232
-
- Dentist
- Brockton, MA
- NPI 1144498726
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471996800000",
"number": "1477008951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 CHARLES ST S UNIT 802",
"city": "BOSTON",
"state": "MA",
"postal_code": "021165454",
"telephone_number": "571-449-7198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "698 CRESCENT ST",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023023360",
"telephone_number": "508-583-2256"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARRA",
"first_name": "MOHAMMAD",
"middle_name": "HASSAN",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-08-24",
"last_updated": "2016-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "DN1857380",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brockton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.