Active NPI
Ahmed Keles, DDS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Cambridge, MA
National Provider Identifier
1720445331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 12793
- Practice address
- 245 First St Cambridge
17TH Floor
Cambridge, MA 02142 - Phone
- (617) 892-8245
- NPI assigned
- Jan 27, 2016
- 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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 12793 | MA | Primary |
Addresses
Primary practice location
245 First St Cambridge
17TH Floor
Cambridge, MA 02142
Mailing address
245 First St
Cambridge, MA 02142-1200
Phone (617) 892-8245
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 |
|---|---|---|---|
| 12793 | MA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453852800000",
"number": "1720445331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "245 FIRST ST",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021421200",
"telephone_number": "617-892-8245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "245 FIRST ST CAMBRIDGE",
"address_2": "17TH FLOOR",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "02142",
"telephone_number": "617-892-8245"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELES",
"first_name": "AHMED",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-01-27",
"last_updated": "2016-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "MA",
"license": "12793",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cambridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.