Active NPI
Ahmad Al Khafaji, DMD
- Dentist
- Hanover, MA
National Provider Identifier
1487328563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN1859237
- Practice address
- 20 East St
Hanover, MA 02339-1638 - Phone
- (781) 826-4499
- Fax
- (603) 546-0755
- NPI assigned
- Aug 3, 2021
- Last updated
- May 15, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 04675 | NH | |
| Dentist | 122300000X | DN1859237 | MA | Primary |
Addresses
Primary practice location
20 East St
Hanover, MA 02339-1638
Mailing address
16 Central Ave
Newtonville, MA 02460-1707
Phone (470) 892-8847
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 |
|---|---|---|---|
| DN1859237 | MA | MD | Dentist |
| 04675 | NH | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hanover Aligners and Braces PLLC | Dentist | Current | Accepting new patients |
| Nashua Area Family Dentistry | General Practice | Past | Accepting new patients |
| Granite Fields Dental, PLLC | Past | Accepting new patients |
Locations
20 East St
Hanover, MA 02339
Phone (781) 826-1150
Organizations & group practices 3
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.
-
- Dental Clinic/Center
- Hampstead, NH
- NPI 1649434275
-
- General Practice Dentistry
- Nashua, NH
- NPI 1396801312
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715731200000",
"number": "1487328563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 CENTRAL AVE",
"city": "NEWTONVILLE",
"state": "MA",
"postal_code": "024601707",
"telephone_number": "470-892-8847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 EAST ST",
"city": "HANOVER",
"state": "MA",
"postal_code": "023391638",
"telephone_number": "781-826-4499",
"fax_number": "603-546-0755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AL KHAFAJI",
"first_name": "AHMAD",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-08-03",
"last_updated": "2024-05-15",
"certification_date": "2024-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NH",
"license": "04675",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "DN1859237",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hanover, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.