Active NPI
Hebatallah Abbas, DMD
- Dentist
- Arlington, MA
National Provider Identifier
1679923809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN1857182
- Practice address
- 10 Campbell Rd
Arlington, MA 02476-7102 - Phone
- (516) 467-6972
- NPI assigned
- Jun 19, 2016
- Sex
- Female
- 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 | DN1857182 | MA | Primary |
Addresses
Primary practice location
10 Campbell Rd
Arlington, MA 02476-7102
Mailing address
89 Church Street
Lowell, MA 01852
Phone (516) 467-6972
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160813000044 | MA | Order and Referring Only - Dentist | 7315231354 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466294400000",
"number": "1679923809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "89 CHURCH STREET",
"city": "LOWELL",
"state": "MA",
"postal_code": "01852",
"telephone_number": "516-467-6972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 CAMPBELL RD",
"city": "ARLINGTON",
"state": "MA",
"postal_code": "024767102",
"telephone_number": "516-467-6972"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABBAS",
"first_name": "HEBATALLAH",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-19",
"last_updated": "2016-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "DN1857182",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arlington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.