Active NPI
Worcester Endodontics, PLLC
- Endodontics
- Worcester, MA
National Provider Identifier
1780273052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- Legal business name
- WORCESTER ENDODONTICS, PLLC
- Practice address
- 255 Park Ave Ste 303
Worcester, MA 01609-1985 - Phone
- (508) 755-3636
- NPI assigned
- Jan 12, 2021
- Last updated
- Jan 12, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Houssam Alkhoury
- Title
- Owner
- Phone
- (508) 589-8270
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | NU | Primary |
Addresses
Primary practice location
255 Park Ave Ste 303
Worcester, MA 01609-1985
Mailing address
87 Elm St
Hopkinton, MA 01748-1638
Phone (508) 589-8270
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610409600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1610409600000",
"number": "1780273052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "87 ELM ST",
"city": "HOPKINTON",
"state": "MA",
"postal_code": "017481638",
"telephone_number": "508-589-8270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 PARK AVE STE 303",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016091985",
"telephone_number": "508-755-3636"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WORCESTER ENDODONTICS, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-12",
"last_updated": "2021-01-12",
"certification_date": "2021-01-12",
"status": "A",
"authorized_official_last_name": "ALKHOURY",
"authorized_official_first_name": "HOUSSAM",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "508-589-8270"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Worcester, MA
- Worcester Dentist Group PC
- Worcester Dentistry and Braces PC
- Worcester Derm - Roberts LLC
- Worcester Dermatology Associates, P.C.
- Worcester Endodontics
- Worcester Eye Consultants, PC
- Worcester Family Chiropractic, PLLC
- Worcester Family Dental PC
- Worcester Family Pharmacy, Inc.
- Worcester Family Practice, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.