Active NPI
Omar Adil Alobaidi
- Dentist
- Chelsea, MA
National Provider Identifier
1740663202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN10000373
- Practice address
- 110 Park St # 1
Chelsea, MA 02150-2709 - Phone
- (781) 215-4814
- NPI assigned
- Jul 2, 2015
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Dentist | 122300000X | DN10000373 | MA | Primary |
Addresses
Primary practice location
110 Park St # 1
Chelsea, MA 02150-2709
Mailing address
102 Kimball Ave
Revere, MA 02151-2621
Phone (781) 215-4814
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 |
|---|---|---|---|
| DN10000373 | MA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721692800000",
"number": "1740663202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 KIMBALL AVE",
"city": "REVERE",
"state": "MA",
"postal_code": "021512621",
"telephone_number": "781-215-4814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 PARK ST # 1",
"city": "CHELSEA",
"state": "MA",
"postal_code": "021502709",
"telephone_number": "781-215-4814"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALOBAIDI",
"first_name": "OMAR",
"middle_name": "ADIL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-07-02",
"last_updated": "2024-07-23",
"certification_date": "2024-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "DN10000373",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chelsea, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.