NPIMap

Organization Active NPI

Rahul Malik LLC

  • Dentist
  • Braintree, MA
National Provider Identifier
1538618244
Registry record updated Sep 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
RAHUL MALIK LLC
Practice address
422 John Mahar Hwy 103
Braintree, MA 02184-6586
Phone
(205) 639-7259
NPI assigned
Sep 23, 2016
Last updated
Sep 23, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2016

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

Authorized official

Name
Rahul Malik, DMDNPI 1134481229
Title
Dentist
Phone
(205) 639-7259

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X Primary

Addresses

Primary practice location

422 John Mahar Hwy 103
Braintree, MA 02184-6586

Mailing address

601 Pleasant St
Brockton, MA 02301-2512

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1474588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474588800000",
    "number": "1538618244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 PLEASANT ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023012512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 JOHN MAHAR HWY 103",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021846586",
            "telephone_number": "205-639-7259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAHUL MALIK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-23",
        "last_updated": "2016-09-23",
        "status": "A",
        "authorized_official_last_name": "MALIK",
        "authorized_official_first_name": "RAHUL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "205-639-7259",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "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 Sep 23, 2016; 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.