Individual provider Active NPI

Ahmed Al Saeed, DMD

  • Dentist
  • Boston, MA
National Provider Identifier
1619677317
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN186007 Issued in MA
Practice address
30 Harbor Point Blvd Apt 407
Boston, MA 02125-3210
Phone
(619) 212-3880
NPI assigned
Mar 9, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN186007 MA Primary

Addresses

Primary practice location

30 Harbor Point Blvd Apt 407
Boston, MA 02125-3210

Mailing address

30 Harbor Point Blvd Apt 407
Boston, MA 02125-3210
Phone (619) 212-3880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20240116002607 MA Order and Referring Only - DentistPractitioner - Dentist 6204288277

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN186007MAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1678320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1619677317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 HARBOR POINT BLVD APT 407",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021253210",
            "telephone_number": "619-212-3880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 HARBOR POINT BLVD APT 407",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021253210",
            "telephone_number": "619-212-3880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL SAEED",
        "first_name": "AHMED",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-09",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN186007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.