NPIMap

Organization Active NPI

Kalil Dental Associates,Inc

  • General Practice Dentistry
  • Methuen, MA
National Provider Identifier
1487136362
Registry record updated Sep 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
16535 Issued in MA
Legal business name
KALIL DENTAL ASSOCIATES,INC
Practice address
91 Jackson St
Methuen, MA 01844-5044
Phone
(978) 688-1895
Fax
(978) 682-6691
NPI assigned
Sep 6, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2018

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

Authorized official

Name
Debbie Johnson
Title
Business Coordinator
Phone
(978) 688-1895

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 16535 MA Primary

Addresses

Primary practice location

91 Jackson St
Methuen, MA 01844-5044

Mailing address

91 Jackson St
Methuen, MA 01844-5044
Phone (978) 688-1895

National Provider Directory

National Provider Directory

Locations

91 Jackson St
Methuen, MA 01844
Phone (978) 688-1895

Practitioners & affiliated clinicians

Practitioners 3

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": "1536192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536192000000",
    "number": "1487136362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 JACKSON ST",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018445044",
            "telephone_number": "978-688-1895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 JACKSON ST",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018445044",
            "telephone_number": "978-688-1895",
            "fax_number": "978-682-6691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALIL DENTAL ASSOCIATES,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-06",
        "last_updated": "2018-09-06",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "BUSINESS COORDINATOR",
        "authorized_official_telephone_number": "978-688-1895"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "16535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Methuen, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2018; 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.