Active NPI
Ahmad Hakwati, DMD
- Dentist
- Winchendon, MA
National Provider Identifier
1639720907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN1858487
- Practice address
- 77 Central St
Winchendon, MA 01475-1609 - Phone
- (978) 252-8401
- NPI assigned
- Sep 26, 2019
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | DN1858487 | MA | Primary |
Addresses
Primary practice location
77 Central St
Winchendon, MA 01475-1609
Mailing address
12 Parker Rd
Berlin, MA 01503-1425
Phone (708) 704-6741
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
| License | State | Type | Specialty |
|---|---|---|---|
| DN1858487 | MA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Great Dental Clinic PC | Current | Accepting new patients |
Locations
77 Central St
Winchendon, MA 01475
Phone (978) 252-8401
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 and National Provider Directory roles.
-
- Dental Clinic/Center
- Winchendon, MA
- NPI 1174221311
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676592000000",
"number": "1639720907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 PARKER RD",
"city": "BERLIN",
"state": "MA",
"postal_code": "015031425",
"telephone_number": "708-704-6741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 CENTRAL ST",
"city": "WINCHENDON",
"state": "MA",
"postal_code": "014751609",
"telephone_number": "978-252-8401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAKWATI",
"first_name": "AHMAD",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-09-26",
"last_updated": "2023-02-17",
"certification_date": "2023-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "DN1858487",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winchendon, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.