Individual provider Active NPI

Moftah El-Ghadi, DMD

  • Prosthodontics
  • New Bedford, MA
National Provider Identifier
1740447697
Registry record updated May 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
09979 Issued in MA
Practice address
32 Hillman St
New Bedford, MA 02740-6613
Phone
(508) 996-6777
NPI assigned
May 19, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 09979 MA Primary

Addresses

Primary practice location

32 Hillman St
New Bedford, MA 02740-6613

Mailing address

32 Hillman St
New Bedford, MA 02740-6613
Phone (508) 996-6777

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151215001609 MA Order and Referring Only - DentistPractitioner - Dentist 7618278730

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
09979MAMDProsthodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern New England Dental Group Prosthodontics Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211155200000",
    "number": "1740447697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 HILLMAN ST",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027406613",
            "telephone_number": "508-996-6777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 HILLMAN ST",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027406613",
            "telephone_number": "508-996-6777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EL-GHADI",
        "first_name": "MOFTAH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-19",
        "last_updated": "2008-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "MA",
            "license": "09979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bedford, MA

Sources for this page

Verify at the official NPI Registry.