Active NPI
Moaiad Hilmi Salous, DDS
- Dentist
- Braintree, MA
National Provider Identifier
1528624988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN1858220
- Practice address
- 103 Pearl St
Braintree, MA 02184-6525 - Phone
- (781) 356-3030
- NPI assigned
- May 11, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN1858220 | MA | Primary |
Addresses
Primary practice location
103 Pearl St
Braintree, MA 02184-6525
Mailing address
20840 Saber Jet PL
Ashburn, VA 20147-6269
Phone (703) 508-4557
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210713001594 | MN | Order and Referring Only - Oral Surgery | 4587066519 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN1858220 | MA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557532800000",
"number": "1528624988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20840 SABER JET PL",
"city": "ASHBURN",
"state": "VA",
"postal_code": "201476269",
"telephone_number": "703-508-4557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 PEARL ST",
"city": "BRAINTREE",
"state": "MA",
"postal_code": "021846525",
"telephone_number": "781-356-3030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALOUS",
"first_name": "MOAIAD",
"middle_name": "HILMI",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-05-11",
"last_updated": "2019-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "DN1858220",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Braintree, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.