Individual provider Active NPI

Tanios M Rubeiz, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Norwell, MA
National Provider Identifier
1750304010
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
19850 Issued in MA
Practice address
80 Washington St # BLDN-51
Norwell, MA 02061-1740
Phone
(781) 871-1677
Fax
(781) 982-4094
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 19850 MA Primary

Addresses

Primary practice location

80 Washington St # BLDN-51
Norwell, MA 02061-1740

Mailing address

80 Washington St # BLDN-51
Norwell, MA 02061-1740
Phone (781) 871-1677

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
I20041119000099 MA Practitioner - Oral SurgeryPractitioner - Maxillofacial Surgery 8123082062 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Oral Surgery
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oral Surgery South-Qualitas, PCGroup PAC ID 9032657036, 6 clinicians

Practice addresses (Care Compare)

80 Washington St
Suite N 51
Norwell, MA 02061-1742
Phone (781) 871-1677

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19850MAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Oral Surgery South PC Oral and Maxillofacial Surgery CurrentSince Jun 29, 2018 Accepting new patients
Oral Surgery South-Qualitas, PC CurrentSince Jul 7, 2024 Accepting new patients

Locations

80 Washington St
Ste N-51
Norwell, MA 02061
Phone (781) 871-1677

49 Obery St
Plymouth, MA 02360
Phone (508) 746-1614

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750304010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 WASHINGTON ST # BLDN-51",
            "city": "NORWELL",
            "state": "MA",
            "postal_code": "020611740",
            "telephone_number": "781-871-1677",
            "fax_number": "781-982-4094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 WASHINGTON ST # BLDN-51",
            "city": "NORWELL",
            "state": "MA",
            "postal_code": "020611740",
            "telephone_number": "781-871-1677",
            "fax_number": "781-982-4094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBEIZ",
        "first_name": "TANIOS",
        "middle_name": "M",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MA",
            "license": "19850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwell, MA

Sources for this page

Verify at the official NPI Registry.