NPIMap

Organization Active NPI

Star Dental LLC

  • General Practice Dentistry
  • Norwell, MA
National Provider Identifier
1710141734
Registry record updated Jul 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
21304 Issued in MA
Legal business name
STAR DENTAL LLC
Practice address
6 Grove St
Unit C
Norwell, MA 02061-1534
Phone
(781) 792-0100
Fax
(781) 792-2854
NPI assigned
Jul 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2008

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

Authorized official

Name
Dr. Mohamed Jawad Shakarchi, DDS
Title
Owner
Phone
(781) 792-0100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 21304 MA Primary

Addresses

Primary practice location

6 Grove St
Unit C
Norwell, MA 02061-1534

Mailing address

6 Grove St
Unit C
Norwell, MA 02061-1534
Phone (781) 792-0100

National Provider Directory

National Provider Directory

Locations

6 Grove St
Unit C
Norwell, MA 02061
Phone (781) 792-0100

NPI Registry JSON

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

{
    "created_epoch": "1216339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216339200000",
    "number": "1710141734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 GROVE ST",
            "address_2": "UNIT C",
            "city": "NORWELL",
            "state": "MA",
            "postal_code": "020611534",
            "telephone_number": "781-792-0100",
            "fax_number": "781-792-2854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 GROVE ST",
            "address_2": "UNIT C",
            "city": "NORWELL",
            "state": "MA",
            "postal_code": "020611534",
            "telephone_number": "781-792-0100",
            "fax_number": "781-792-2854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-18",
        "last_updated": "2008-07-18",
        "status": "A",
        "authorized_official_last_name": "SHAKARCHI",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_middle_name": "JAWAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-792-0100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "21304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwell, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2008; 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.