Kerolos Habib, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN1858668 Issued in MA

Practice address

314 Essex St
Lawrence, MA 01840-1411

Phone

(978) 327-5151

NPI assigned

Jun 17, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Lawrence Family Dental Inc

  • Dentist
  • Lawrence, MA
  • NPI 1073820395
  NPD
• Hossam Makkar DMD PC

  • General Practice Dentistry
  • Lawrence, MA
  • NPI 1881715324
  NPD (past)

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

{
    "created_epoch": "1592352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603152000000",
    "number": "1568088433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 PLEASANT VALLEY ST APT 70202",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018447252",
            "telephone_number": "978-401-1345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 ESSEX ST",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018401411",
            "telephone_number": "978-327-5151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABIB",
        "first_name": "KEROLOS",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-17",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1858668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carmen Guzman, MSW
• Nelsida M Guzman, M.ED.
• Stephany Guzman
• Zuneivy Alexandra Guzman
• Iris Gwynne, FNP-C
• Dulce Haeussler Fiore, PHD
• Lauren Kathleen Hagens, OTR/L
• Faith Ann Hakesley
• Danielle Hall, OTR
• Mitchell Halpert

• Dentist in Lawrence, MA
• Providers in Lawrence, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; 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.