Individual provider Active NPI

Iham Gammas, D.M.D

  • Dentist
  • Attleboro, MA
National Provider Identifier
1861689309
Registry record updated Sep 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
21981 Issued in MA
Practice address
550 N Main St
A
Attleboro, MA 02703-1735
Phone
(508) 222-2510
NPI assigned
Sep 28, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 21981 MA Primary

Addresses

Primary practice location

550 N Main St
A
Attleboro, MA 02703-1735

Mailing address

263 Huntington Ave
146
Boston, MA 02115-4506
Phone (617) 710-5072

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180514001329 MA Practitioner - Oral Surgery 8628399185 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21981MAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Iham Gammas DMD LLC CurrentSince Dec 16, 2016 Accepting new patients

Locations

263 Huntington Ave
#146
Boston, MA 02115

133 Market St
Lowell, MA 01852
Phone (978) 453-1300

28 Corey St
West Roxbury, MA 02132
Phone (617) 323-0040

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1190937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317254400000",
    "number": "1861689309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 HUNTINGTON AVE",
            "address_2": "146",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021154506",
            "telephone_number": "617-710-5072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 N MAIN ST",
            "address_2": "A",
            "city": "ATTLEBORO",
            "state": "MA",
            "postal_code": "027031735",
            "telephone_number": "508-222-2510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMMAS",
        "first_name": "IHAM",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-28",
        "last_updated": "2011-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "21981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Attleboro, MA

Sources for this page

Verify at the official NPI Registry.