NPIMap

Organization Active NPI

Bedford Dental Arts, LLC

Doing business as Carlisle Dental Associates

  • Dentist
  • Carlisle, MA
National Provider Identifier
1548542681
Registry record updated Jan 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D18871 Issued in MA
Legal business name
BEDFORD DENTAL ARTS, LLC
Doing business as
Carlisle Dental Associates
Practice address
18 Westford St
Carlisle, MA 01741-1506
Phone
(978) 369-7967
Fax
(781) 275-2273
NPI assigned
Sep 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2016

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

Authorized official

Name
Dr. Wasseem Al Attar, DMD
Title
Manager
Phone
(781) 258-5039

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X D18871 MA Primary

Addresses

Primary practice location

18 Westford St
Carlisle, MA 01741-1506

Mailing address

41 North Rd
Suite 207
Bedford, MA 01730-1037
Phone (781) 275-2556

Other identifiers 1

IdentifierTypeStateIssuer
18871OtherMALICENSE NUMBER

Other names 1

  • Carlisle Dental Associates Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bedford Dental Arts2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

41 North Rd
Ste 207
Bedford, MA 01730
Phone (781) 275-2556

Practitioners & affiliated clinicians

Practitioners 7

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": "1315958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453420800000",
    "number": "1548542681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 NORTH RD",
            "address_2": "SUITE 207",
            "city": "BEDFORD",
            "state": "MA",
            "postal_code": "017301037",
            "telephone_number": "781-275-2556",
            "fax_number": "781-275-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 WESTFORD ST",
            "city": "CARLISLE",
            "state": "MA",
            "postal_code": "017411506",
            "telephone_number": "978-369-7967",
            "fax_number": "781-275-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEDFORD DENTAL ARTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-14",
        "last_updated": "2016-01-22",
        "status": "A",
        "authorized_official_last_name": "AL ATTAR",
        "authorized_official_first_name": "WASSEEM",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "781-258-5039",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MA",
            "license": "D18871",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "18871",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carlisle Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carlisle, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.