Individual provider Active NPI

Ammar Hussain Pabaney, DMD

  • Dentist
  • Northborough, MA
National Provider Identifier
1588115240
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN1857452 Issued in MA
Practice address
1 E Main St
Northborough, MA 01532-1662
Phone
(508) 374-9350
NPI assigned
Oct 18, 2016
Last updated
Aug 21, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 04266 NH
Dentist 122300000X DN1857452 MA Primary

Addresses

Primary practice location

1 E Main St
Northborough, MA 01532-1662

Mailing address

33 Spit Brook Rd # A2
Nashua, NH 03060-6902
Phone (603) 809-7528

Other practice location 1

274 Daniel Webster Hwy
Nashua, NH 03060-5729
Phone (603) 880-8900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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

Enrollment IDStateProvider typePAC IDDetails
I20161128002247 NH Order and Referring Only - DentistPractitioner - Dentist 0244519718

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN1857452MAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Ammar H Pabaney DMD PLLC Current Accepting new patients

Organizations & group practices 1

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": "1476748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1588115240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 SPIT BROOK RD # A2",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030606902",
            "telephone_number": "603-809-7528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 E MAIN ST",
            "city": "NORTHBOROUGH",
            "state": "MA",
            "postal_code": "015321662",
            "telephone_number": "508-374-9350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "274 Daniel Webster Hwy",
            "address_purpose": "LOCATION",
            "city": "Nashua",
            "state": "NH",
            "postal_code": "030605729",
            "country_code": "US",
            "telephone_number": "603-880-8900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PABANEY",
        "first_name": "AMMAR",
        "middle_name": "HUSSAIN",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-18",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NH",
            "license": "04266",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1857452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northborough, MA

Sources for this page

Verify at the official NPI Registry.