Individual provider Active NPI

Abdul-Rahman Addas Addas

  • General Practice Dentistry
  • Falmouth, MA
National Provider Identifier
1588065940
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN1856674 Issued in MA
Practice address
303 Dillingham Ave Ste a
Falmouth, MA 02540-3376
Phone
(513) 560-0858
NPI assigned
Sep 4, 2014
Last updated
Dec 3, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN1856674 MA Primary

Addresses

Primary practice location

303 Dillingham Ave Ste a
Falmouth, MA 02540-3376

Mailing address

245 Jones Rd
Falmouth, MA 02540-2944
Phone (508) 548-5028

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN1856674MAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Amg Dental Group PC General Practice CurrentSince Dec 15, 2024 Accepting new patients
Advanced Dental Care of Quincy PC General Practice Current Accepting new patients
Alpha Dental Center of Taunton, LLC General Practice Past Accepting new patients
Taunton Dental Center PC General Practice Past Accepting new patients

Locations

245 Jones Rd
Falmouth, MA 02540
Phone (508) 548-5028

303 Dillingham Ave
Ste A
Falmouth, MA 02540
Phone (508) 548-5028

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1409788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1588065940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 JONES RD",
            "city": "FALMOUTH",
            "state": "MA",
            "postal_code": "025402944",
            "telephone_number": "508-548-5028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 DILLINGHAM AVE STE A",
            "city": "FALMOUTH",
            "state": "MA",
            "postal_code": "025403376",
            "telephone_number": "513-560-0858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADDAS",
        "first_name": "ABDUL-RAHMAN ADDAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-04",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1856674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falmouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; 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.