Active NPI
Omer Abdelazim Babiker Ahmed, BDS
- General Practice Dentistry
- Mattapan, MA
National Provider Identifier
1568366110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DL101786
- Practice address
- 1135 Morton St
Mattapan, MA 02126-2834 - Phone
- (617) 533-2300
- NPI assigned
- Oct 6, 2026
- Last updated
- Oct 6, 2026
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DL101786 | MA | Primary |
Addresses
Primary practice location
1135 Morton St
Mattapan, MA 02126-2834
Mailing address
210 Wareham Rd Apt 4310
Plymouth, MA 02360-3673
Phone (346) 697-1390
Other practice location 1
10 Cordage Park Cir Ste 115
Plymouth, MA 02360-7318
Phone (508) 778-5470
Other practice location 2
735 Attucks Ln
Hyannis, MA 02601-1867
Phone (508) 778-5420
Other practice location 3
516 Route 134
South Dennis, MA 02660-3451
Phone (508) 778-5400
Other practice location 4
250 Mount Vernon St
Dorchester, MA 02125-3120
Phone (617) 288-1140
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791244800000",
"number": "1568366110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 WAREHAM RD APT 4310",
"city": "PLYMOUTH",
"state": "MA",
"postal_code": "023603673",
"telephone_number": "346-697-1390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1135 MORTON ST",
"city": "MATTAPAN",
"state": "MA",
"postal_code": "021262834",
"telephone_number": "617-533-2300"
}
],
"practiceLocations": [
{
"address_1": "10 Cordage Park Cir Ste 115",
"address_purpose": "LOCATION",
"city": "Plymouth",
"state": "MA",
"postal_code": "023607318",
"country_code": "US",
"telephone_number": "508-778-5470",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "735 Attucks Ln",
"address_purpose": "LOCATION",
"city": "Hyannis",
"state": "MA",
"postal_code": "026011867",
"country_code": "US",
"telephone_number": "508-778-5420",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "516 Route 134",
"address_purpose": "LOCATION",
"city": "South Dennis",
"state": "MA",
"postal_code": "026603451",
"country_code": "US",
"telephone_number": "508-778-5400",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "250 Mount Vernon St",
"address_purpose": "LOCATION",
"city": "Dorchester",
"state": "MA",
"postal_code": "021253120",
"country_code": "US",
"telephone_number": "617-288-1140",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AHMED",
"first_name": "OMER",
"middle_name": "ABDELAZIM BABIKER",
"credential": "BDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-10-06",
"last_updated": "2026-10-06",
"certification_date": "2026-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MA",
"license": "DL101786",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mattapan, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.