Kirollos Bisheet, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN1859607 Issued in MA

Practice address

1372 Hancock St Ste 101
Quincy, MA 02169-5107

Phone

(617) 472-3919

NPI assigned

Sep 13, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Ekbal H. Elkadry, D.M.D., P.C.

  • General Practice Dentistry
  • Quincy, MA
  • NPI 1083787055
  NPD (past)

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

{
    "created_epoch": "1663027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1760104103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1372 HANCOCK ST STE 101",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021695107",
            "telephone_number": "617-472-3919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1372 HANCOCK ST STE 101",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021695107",
            "telephone_number": "617-472-3919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISHEET",
        "first_name": "KIROLLOS",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-13",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1859607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alison Biggs, LICSW
• Taylor Bigwood, OTR/L
• Shannon Nicole Binford
• Bio-Medical Applications of Massachusetts, Inc.
• Alexandra Bird
• Timothy Michael Bishop Jr.
• BJ'S Wholesale Club Inc.
• Leslie Ronnie Blachman, M.D.
• Blackwood Pharmacy Inc
• Dalys Ann Blair, LICSW

• Dentist in Quincy, MA
• Providers in Quincy, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.