Amira Omar, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN1858838 Issued in MA

Practice address

137 Hathaway Rd
New Bedford, MA 02746-1304

Phone

(774) 425-0613

NPI assigned

Aug 15, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in RI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: amira.omar.p4@direct.bvchc.nextgenshare.com

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.

• Tri-County Community Action Agency

  • Federally Qualified Health Center (FQHC)
  • Johnston, RI
  • NPI 1396780086

  Multi-Specialty

  Medicare reassignment NPD
• Tri-County Community Action Agency

  • Federally Qualified Health Center (FQHC)
  • North Providence, RI
  • NPI 1912328600
  NPD
• Community Family Dental, LLC

  • General Practice Dentistry
  • Roslindale, MA
  • NPI 1699905703
  NPD (past)

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

{
    "created_epoch": "1502755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609804800000",
    "number": "1558887232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 HARBOR POINT BLVD APT 407",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021253205",
            "telephone_number": "917-870-7297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 HATHAWAY RD",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027461304",
            "telephone_number": "774-425-0613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMAR",
        "first_name": "AMIRA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-15",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1858838",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DL13339",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1858838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neil L. Oliveira, D.M.D.
• Nicole Lynn Oliveira
• Matthew Joseph Oliver, LMHC
• Christina Olsson, MA, NCC
• Jonathan Omane, PHYSICIAN ASSISTANT
• Online Therapy Association. Inc
• Pamela Elizabeth Opheim-Newhall, LICSW
• Optimum Labs Inc
• Oral Surgery Associates Southcoast, Inc.
• Matthew Paul Ormonde

• General Practice Dentistry in New Bedford, MA
• Providers in New Bedford, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; 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.

Verify at the official NPI Registry.