NPIMap

Organization Active NPI

Maha G Boutros, DMD, PC

  • Dentist
  • Chelmsford, MA
National Provider Identifier
1871761353
Registry record updated Feb 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
18863 Issued in MA
Legal business name
MAHA G BOUTROS, DMD, PC
Practice address
1 Meeting House Rd
Suite # 4
Chelmsford, MA 01824-2733
Phone
(978) 256-4551
NPI assigned
Feb 18, 2008
Last updated
Feb 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2008

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

Authorized official

Name
Dr. Maha G BoutrosNPI 1174526172
Title
President
Phone
(978) 256-4551

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 18863 MA Primary

Addresses

Primary practice location

1 Meeting House Rd
Suite # 4
Chelmsford, MA 01824-2733

Mailing address

1 Meeting House Rd
Suite # 4
Chelmsford, MA 01824-2733
Phone (978) 256-4551

National Provider Directory

National Provider Directory

Locations

1 Meeting House Rd
Ste 4
Chelmsford, MA 01824
Phone (978) 256-4551

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": "1203292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203292800000",
    "number": "1871761353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEETING HOUSE RD",
            "address_2": "SUITE # 4",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018242733",
            "telephone_number": "978-256-4551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEETING HOUSE RD",
            "address_2": "SUITE # 4",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018242733",
            "telephone_number": "978-256-4551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHA G BOUTROS, DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-18",
        "last_updated": "2008-02-18",
        "status": "A",
        "authorized_official_last_name": "BOUTROS",
        "authorized_official_first_name": "MAHA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-256-4551",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MA",
            "license": "18863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chelmsford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2008; 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.