Organization Active NPI

North Cambridge Dental

  • General Practice Dentistry
  • Cambridge, MA
National Provider Identifier
1477786432
Registry record updated Aug 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
20073 Issued in MA
Legal business name
NORTH CAMBRIDGE DENTAL
Practice address
2331 Massachuesetts Ave
Cambridge, MA 02140-1228
Phone
(617) 876-8636
NPI assigned
Aug 25, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2009

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

Authorized official

Name
Dr. Rami F. Jradeh, D.M.D.
Title
Owner
Phone
(617) 876-8636

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 20073 MA Primary

Addresses

Primary practice location

2331 Massachuesetts Ave
Cambridge, MA 02140-1228

Mailing address

2331 Massachuesetts Ave
Cambridge, MA 02140
Phone (617) 876-8636

National Provider Directory

National Provider Directory

Locations

2331 Massachusetts Ave
Cambridge, MA 02140
Phone (617) 876-8636

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1251158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251158400000",
    "number": "1477786432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2331 MASSACHUESETTS AVE",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "02140",
            "telephone_number": "617-876-8636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2331 MASSACHUESETTS AVE",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021401228",
            "telephone_number": "617-876-8636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH CAMBRIDGE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-25",
        "last_updated": "2009-08-25",
        "status": "A",
        "authorized_official_last_name": "JRADEH",
        "authorized_official_first_name": "RAMI",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-876-8636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "20073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2009; 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.