Active NPI
Marc J. Kahn D.M.D.
- Oral and Maxillofacial Surgery (Dentist)
- Needham, MA
National Provider Identifier
1477742575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 014857
- Legal business name
- MARC J. KAHN D.M.D.
- Practice address
- 1233 Highland Ave
Needham, MA 02492-2697 - Phone
- (781) 444-4870
- Fax
- (781) 444-2575
- NPI assigned
- Oct 15, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Marc Jeffrey Kahn, DMD
- Title
- Owner
- Phone
- (781) 444-4870
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 014857 | MA | Primary |
Addresses
Primary practice location
1233 Highland Ave
Needham, MA 02492-2697
Mailing address
1233 Highland Ave
Needham, MA 02492-2697
Phone (781) 444-4870
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| X11053 | Other | MA | BLUE CROSS BLUE SHIELD |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Oral and Maxillofacial Surgery (Dentist)
- Needham, MA
- NPI 1255388005
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192406400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1192406400000",
"number": "1477742575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1233 HIGHLAND AVE",
"city": "NEEDHAM",
"state": "MA",
"postal_code": "024922697",
"telephone_number": "781-444-4870",
"fax_number": "781-444-2575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1233 HIGHLAND AVE",
"city": "NEEDHAM",
"state": "MA",
"postal_code": "024922697",
"telephone_number": "781-444-4870",
"fax_number": "781-444-2575"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARC J. KAHN D.M.D.",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-15",
"last_updated": "2007-10-15",
"status": "A",
"authorized_official_last_name": "KAHN",
"authorized_official_first_name": "MARC",
"authorized_official_middle_name": "JEFFREY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "781-444-4870",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "MA",
"license": "014857",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "X11053",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Needham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.