Organization Active NPI

North Shore Dental Center

  • General Practice Dentistry
  • Peabody, MA
National Provider Identifier
1639426315
Registry record updated Aug 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1855331 Issued in MA
Legal business name
NORTH SHORE DENTAL CENTER
Practice address
6 Essex Center Dr
Ste. 302
Peabody, MA 01960-2904
Phone
(978) 532-0088
Fax
(978) 532-0089
NPI assigned
Aug 13, 2012
Last updated
Aug 13, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2012

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

Authorized official

Name
Hiam Elias, DMDNPI 1245481456
Title
Owner
Phone
(978) 532-0088

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 1855331 MA Primary

Addresses

Primary practice location

6 Essex Center Dr
Ste. 302
Peabody, MA 01960-2904

Mailing address

6 Essex Center Dr
Ste. 302
Peabody, MA 01960-2904
Phone (978) 532-0088

Other identifiers 1

IdentifierTypeStateIssuer
1245481456OtherINDIVIDUAL NPI

Other names 1

  • Hiam Elias, DMD, PC Other name

National Provider Directory

National Provider Directory

Locations

6 Essex Center Dr
Ste 302
Peabody, MA 01960
Phone (978) 532-0088

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1344816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344816000000",
    "number": "1639426315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 ESSEX CENTER DR",
            "address_2": "STE. 302",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019602904",
            "telephone_number": "978-532-0088",
            "fax_number": "978-532-0089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 ESSEX CENTER DR",
            "address_2": "STE. 302",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019602904",
            "telephone_number": "978-532-0088",
            "fax_number": "978-532-0089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-13",
        "last_updated": "2012-08-13",
        "status": "A",
        "authorized_official_last_name": "ELIAS",
        "authorized_official_first_name": "HIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-532-0088",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "1855331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1245481456",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hiam Elias, DMD, PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Peabody, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2012; 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.