NPIMap

Organization Active NPI

Dental Associates of Lowell Inc

  • Dentist
  • Lowell, MA
National Provider Identifier
1861553281
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
19255 Issued in MA
Legal business name
DENTAL ASSOCIATES OF LOWELL INC
Practice address
163 Pine Street
Dental Associates of Lowell
Lowell, MA 01851
Phone
(978) 454-5648
Fax
(978) 454-4434
NPI assigned
Dec 12, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Abboud Mallouh
Title
President
Phone
(978) 454-5648

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 19255 MA Primary

Addresses

Primary practice location

163 Pine Street
Dental Associates of Lowell
Lowell, MA 01851

Mailing address

163 Pine Street
Lowell, MA 01851
Phone (978) 454-5648

National Provider Directory

National Provider Directory

Locations

163 Pine St
Lowell, MA 01851
Phone (978) 454-5648

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861553281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 PINE STREET",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "01851",
            "telephone_number": "978-454-5648",
            "fax_number": "978-454-4434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 PINE STREET",
            "address_2": "DENTAL ASSOCIATES OF LOWELL",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "01851",
            "telephone_number": "978-454-5648",
            "fax_number": "978-454-4434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL ASSOCIATES OF LOWELL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MALLOUH",
        "authorized_official_first_name": "ABBOUD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-454-5648"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "19255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowell, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.