Active NPI
Iman M Elkeeb, DMD
- Dentist
- Londonderry, NH
National Provider Identifier
1851596795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 3355
- Practice address
- 80 Nashua Rd Ste 11
Londonderry, NH 03053-3419 - Phone
- (603) 434-0044
- NPI assigned
- Jun 20, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 20419 | MA | |
| Dentist | 122300000X | 3355 | NH | Primary |
Addresses
Primary practice location
80 Nashua Rd Ste 11
Londonderry, NH 03053-3419
Mailing address
502 Main St
Boxford, MA 01921
Phone (978) 234-1381
Other practice location 1
26 Derry St
Hudson, NH 03051-4008
Phone (603) 883-1929
Other practice location 2
27 Charles St
North Andover, MA 01845-1664
Phone (978) 655-2200
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 |
|---|---|---|---|
| 20419 | MA | MD | Dentist |
| 3355 | NH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618531200000",
"number": "1851596795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "502 MAIN ST",
"city": "BOXFORD",
"state": "MA",
"postal_code": "01921",
"telephone_number": "978-234-1381"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 NASHUA RD STE 11",
"city": "LONDONDERRY",
"state": "NH",
"postal_code": "030533419",
"telephone_number": "603-434-0044"
}
],
"practiceLocations": [
{
"address_1": "26 Derry St",
"address_purpose": "LOCATION",
"city": "Hudson",
"state": "NH",
"postal_code": "030514008",
"country_code": "US",
"telephone_number": "603-883-1929",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "27 Charles St",
"address_purpose": "LOCATION",
"city": "North Andover",
"state": "MA",
"postal_code": "018451664",
"country_code": "US",
"telephone_number": "978-655-2200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ELKEEB",
"first_name": "IMAN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-20",
"last_updated": "2021-04-16",
"certification_date": "2021-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "20419",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NH",
"license": "3355",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Londonderry, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.