Organization Active NPI

Greenwood Dental Associates PLLC

  • Dentist
  • Nashua, NH
National Provider Identifier
1831530849
Registry record updated Jul 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3314 Issued in NH
Legal business name
GREENWOOD DENTAL ASSOCIATES PLLC
Practice address
112 Spit Brook Rd
Suite C
Nashua, NH 03062
Phone
(978) 390-1969
NPI assigned
Jul 8, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2013

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

Authorized official

Name
Dr. Slava Abdelrehim, DDS
Title
President
Phone
(978) 390-1969

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 3314 NH Primary

Addresses

Primary practice location

112 Spit Brook Rd
Suite C
Nashua, NH 03062

Mailing address

14 Mountain Laurels Dr
Unit 403
Nashua, NH 03062-2370

National Provider Directory

National Provider Directory

Locations

112 Spit Brook Rd
Ste C
Nashua, NH 03062
Phone (603) 809-4541

NPI Registry JSON

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

{
    "created_epoch": "1373241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373241600000",
    "number": "1831530849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 MOUNTAIN LAURELS DR",
            "address_2": "UNIT 403",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030622370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 SPIT BROOK RD",
            "address_2": "SUITE C",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "03062",
            "telephone_number": "978-390-1969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENWOOD DENTAL ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-08",
        "last_updated": "2013-07-08",
        "status": "A",
        "authorized_official_last_name": "ABDELREHIM",
        "authorized_official_first_name": "SLAVA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-390-1969",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NH",
            "license": "3314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashua, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2013; 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.