Laurice Salib Fanikos, M.S., D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN21751 Issued in MA

Practice address

905 Great Plain Ave
Needham, MA 02492-3031

Phone

(781) 343-7447

Fax

(781) 343-7448

NPI assigned

Dec 19, 2006

Last updated

May 12, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Laurice Salib-Fanikos Professional name

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Salib Fanikos Dental Care

  • Dentist
  • Needham, MA
  • NPI 1235585969
  NPD (past) Authorized official

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463011200000",
    "number": "1740343854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 GREAT PLAIN AVE",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024923031",
            "telephone_number": "781-343-7447",
            "fax_number": "781-343-7448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 GREAT PLAIN AVE",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024923031",
            "telephone_number": "781-343-7447",
            "fax_number": "781-343-7448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANIKOS",
        "first_name": "LAURICE",
        "middle_name": "SALIB",
        "name_prefix": "Dr.",
        "credential": "M.S., D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2016-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN21751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURICE",
            "last_name": "SALIB-FANIKOS",
            "prefix": "DR.",
            "credential": "M.S., D.M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Patricia Rose Falcao, MD,MPH,FACOG,FASAM
• Mozhdeh Fallahazad, MSW
• Marcela Familiar Bolanos
• Family Care Extended, Inc.
• Family Circle Care, LLC
• Nicole Farnsworth, RD, LDN
• Kit M Farr, M.D.
• Jaimie Marie Farren, M.S., LABA, BCBA
• Michael A Fearing, PH.D.
• Jessica Fedigan, LICSW

• General Practice Dentistry in Needham, MA
• Providers in Needham, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.

Verify at the official NPI Registry.