Active NPI
Mohammad Manaf Alkurdi, DMD
- General Practice Dentistry
- Providence, RI
National Provider Identifier
1821573551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DEN03422
- Practice address
- 5 Benefit St
Providence, RI 02904-2762 - Phone
- (401) 521-3822
- NPI assigned
- Sep 28, 2018
- Last updated
- Feb 7, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN1858121 | MA | |
| General Practice Dentistry | 1223G0001X | DEN03422 | RI | Primary |
Addresses
Primary practice location
5 Benefit St
Providence, RI 02904-2762
Mailing address
5 Benefit St
Providence, RI 02904-2762
Phone (401) 521-3822
Other practice location 1
33 James Reynolds Rd
Swansea, MA 02777-3429
Phone (508) 379-6077
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 |
|---|---|---|---|
| DN1858121 | MA | MD | General Practice Dentistry |
| DEN03422 | RI | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Benefit Dental Care, LLC | General Practice | Past | Accepting new patients |
| Robert L. Seinsky DMD | Past | Accepting new patients |
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.
-
- General Practice Dentistry
- Providence, RI
- NPI 1154782290
-
- Dental Clinic/Center
- Providence, RI
- NPI 1689988602
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581033600000",
"number": "1821573551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 BENEFIT ST",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029042762",
"telephone_number": "401-521-3822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 BENEFIT ST",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029042762",
"telephone_number": "401-521-3822"
}
],
"practiceLocations": [
{
"address_1": "33 James Reynolds Rd",
"address_purpose": "LOCATION",
"city": "Swansea",
"state": "MA",
"postal_code": "027773429",
"country_code": "US",
"telephone_number": "508-379-6077",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALKURDI",
"first_name": "MOHAMMAD MANAF",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-09-28",
"last_updated": "2020-02-07",
"certification_date": "2020-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MA",
"license": "DN1858121",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "RI",
"license": "DEN03422",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.