Nour Sameer Saddouq I, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DL14003 Issued in MA

Practice address

230 Maple St Ste 1
Holyoke, MA 01040-5140

Phone

(413) 420-2200

Fax

(413) 533-6375

NPI assigned

Aug 5, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Holyoke Health Center Inc.

  • Community/Retail Pharmacy
  • Holyoke, MA
  • NPI 1477519684
  NPD (past)

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

{
    "created_epoch": "1564963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564963200000",
    "number": "1487209748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 RHODORA TER",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060954721",
            "telephone_number": "520-425-2029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 MAPLE ST STE 1",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010405140",
            "telephone_number": "413-420-2200",
            "fax_number": "413-533-6375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADDOUQ",
        "first_name": "NOUR",
        "middle_name": "SAMEER",
        "name_suffix": "I",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-05",
        "last_updated": "2019-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DL14003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Rubio
• Yaina Ruiz, RN
• Christina Rusinque
• Alice Marie Ryan
• Julieth Raquel Saab-Suarez, DDS
• Alicja Agnieszka Sadowicz, M.ED.
• Andrew Sadowski
• Lindsey Marie Sadowski, MS
• Nao Sakurai, MD
• Yohanny A Saldana Terrero

• Dentist in Holyoke, MA
• Providers in Holyoke, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2019; 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.