NPIMap

Organization Active NPI

Mouhab Z Rizkallah DDS MSD PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Somerville, MA
National Provider Identifier
1770746372
Registry record updated Jul 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
20416 Issued in MA
Legal business name
MOUHAB Z RIZKALLAH DDS MSD PC
Practice address
30 College Ave
Somerville, MA 02144-1914
Phone
(617) 591-9999
Fax
(617) 591-9990
NPI assigned
Jul 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2008

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

Authorized official

Name
Dr. Mouhab Z Rizkallah, DDS MSD PC
Title
Orthodontist
Phone
(617) 591-9999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 20416 MA Primary

Addresses

Primary practice location

30 College Ave
Somerville, MA 02144-1914

Mailing address

30 College Ave
Somerville, MA 02144-1914
Phone (617) 591-9999

Other names 1

  • orthodontics at davis square Doing business as

National Provider Directory

National Provider Directory

Locations

30 College Ave
Somerville, MA 02144
Phone (617) 591-9999

NPI Registry JSON

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215043200000",
    "number": "1770746372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 COLLEGE AVE",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021441914",
            "telephone_number": "617-591-9999",
            "fax_number": "617-591-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 COLLEGE AVE",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021441914",
            "telephone_number": "617-591-9999",
            "fax_number": "617-591-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUHAB Z RIZKALLAH DDS MSD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-03",
        "last_updated": "2008-07-03",
        "status": "A",
        "authorized_official_last_name": "RIZKALLAH",
        "authorized_official_first_name": "MOUHAB",
        "authorized_official_middle_name": "Z",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "617-591-9999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MSD PC"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MA",
            "license": "20416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "orthodontics at davis square",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Somerville, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; 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.