Organization Active NPI

Luminous Dentistry LLC

  • Dental Clinic/Center
  • Wakefield, MA
National Provider Identifier
1710692702
Registry record updated Jan 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
LUMINOUS DENTISTRY LLC
Practice address
544 Salem St
Wakefield, MA 01880-6245
Phone
(201) 417-8417
NPI assigned
Jan 13, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2023

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

Authorized official

Name
Dr. Mohammed Baseer Ahmed, DMD
Title
Dentist
Phone
(201) 417-8417

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

544 Salem St
Wakefield, MA 01880-6245

Mailing address

544 Salem St
Wakefield, MA 01880-6245
Phone (201) 417-8417

National Provider Directory

National Provider Directory

Locations

544 Salem St
Wakefield, MA 01880
Phone (201) 417-8417

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1673568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673568000000",
    "number": "1710692702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "544 SALEM ST",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "018806245",
            "telephone_number": "201-417-8417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "544 SALEM ST",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "018806245",
            "telephone_number": "201-417-8417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMINOUS DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-13",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "MOHAMMED BASEER",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "201-417-8417",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wakefield, MA

Sources for this page

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

Verify at the official NPI Registry.