Active NPI
Ghada Souhel Massabni, DMD
- General Practice Dentistry
- Woburn, MA
National Provider Identifier
1861408197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 18266
- Practice address
- 576 Main St
Ghada S Massabni DMD DDS
Woburn, MA 01801 - Phone
- (781) 935-2200
- Fax
- (781) 933-1999
- NPI assigned
- Jul 31, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 18266 | MA | Primary |
Addresses
Primary practice location
576 Main St
Ghada S Massabni DMD DDS
Woburn, MA 01801
Mailing address
576 Main St
Ghada S Massabni DMD DDS
Woburn, MA 01801
Phone (781) 935-2200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150608001520 | MA | Order and Referring Only - Dentist | 8729309380 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18266 | MA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1861408197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "576 MAIN ST",
"address_2": "GHADA S MASSABNI DMD DDS",
"city": "WOBURN",
"state": "MA",
"postal_code": "01801",
"telephone_number": "781-935-2200",
"fax_number": "781-933-1999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "576 MAIN ST",
"address_2": "GHADA S MASSABNI DMD DDS",
"city": "WOBURN",
"state": "MA",
"postal_code": "01801",
"telephone_number": "781-935-2200",
"fax_number": "781-933-1999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASSABNI",
"first_name": "GHADA",
"middle_name": "SOUHEL",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MA",
"license": "18266",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woburn, MA
- Pam Masci, PTA
- Silibaziso Masebe
- Matthew Mason, LICSW
- Mass General Brigham Urgent Care LLC
- Mass General Brigham-Dasco HME LLC
- Massachusetts Ear Nose and Throat Associates 3 LLC
- Massachusetts Ear Nose and Throat Associates 4 LLC
- Massachusetts ENT Consultants LLC
- Massachusetts Medical & Physical Therapy Associates Inc.
- Ashley Mastaj, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.