Mohamed Elhamamsy

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DEN03585 Issued in RI

Practice address

111 Chestnut St
Providence, RI 02903-4169

Phone

(401) 443-4007

NPI assigned

Jun 3, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Wellrooted Dentistry LLC

  • Dental Clinic/Center
  • Providence, RI
  • NPI 1134985245
  NPD Authorized official

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

{
    "created_epoch": "1464912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638403200000",
    "number": "1649628348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ELENA ST APT 205",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029204381",
            "telephone_number": "347-543-8094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 CHESTNUT ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034169",
            "telephone_number": "401-443-4007"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "673 Robeson St",
            "address_purpose": "LOCATION",
            "city": "Fall River",
            "state": "MA",
            "postal_code": "027205425",
            "country_code": "US",
            "telephone_number": "508-676-8268",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELHAMAMSY",
        "first_name": "MOHAMED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-03",
        "last_updated": "2021-12-02",
        "certification_date": "2021-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1859206",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "RI",
            "license": "DEN03585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elena M Almonte Consulting LLC
• Elev8 Health & Wellness LLC
• Elevate With Lizzie
• Yousef Elfanagely, MD
• Lana Elhalabi, MD
• Ahmed Elhawary, MD
• Elia Shammas MD Inc.
• Alana Oster Elias
• Shari Wasserstein Elice, PH.D.
• Eliezer Wildflower Care LLC

• General Practice Dentistry in Providence, RI
• Providers in Providence, RI by specialty
• General Practice Dentistry in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2021; 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.