Active NPI
Issa Hamad
- General Practice Dentistry
- Medford, MA
National Provider Identifier
1881420073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN10000577
- Practice address
- 366 Salem St
Medford, MA 02155-3307 - Phone
- (781) 733-9378
- NPI assigned
- Sep 12, 2024
- Sex
- Male
- Sole proprietor
- No
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 | DN10000577 | MA | Primary |
Addresses
Primary practice location
366 Salem St
Medford, MA 02155-3307
Mailing address
1650 Commonwealth Ave Apt 405
Brighton, MA 02135-5632
Phone (561) 699-2138
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 |
|---|---|---|---|
| DN10000577 | MA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dental Arts of Westwood Inc | General Practice | Past | Accepting new patients |
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.
-
- General Practice Dentistry
- Westwood, MA
- NPI 1356739148
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728864000000",
"number": "1881420073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1650 COMMONWEALTH AVE APT 405",
"city": "BRIGHTON",
"state": "MA",
"postal_code": "021355632",
"telephone_number": "561-699-2138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "366 SALEM ST",
"city": "MEDFORD",
"state": "MA",
"postal_code": "021553307",
"telephone_number": "781-733-9378"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMAD",
"first_name": "ISSA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-09-12",
"last_updated": "2024-10-14",
"certification_date": "2024-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MA",
"license": "DN10000577",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Medford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.