Individual provider Active NPI

Feras Awad, DDS

  • General Practice Dentistry
  • Mattapoisett, MA
National Provider Identifier
1881664712
Registry record updated Oct 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D8529 Issued in OR
Practice address
61 County Rd
Mattapoisett, MA 02739-1652
Phone
(508) 758-6913
NPI assigned
Jan 24, 2006
Last updated
Oct 22, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D8529 OR Primary
Dentist 122300000X DN1855041 MA

Addresses

Primary practice location

61 County Rd
Mattapoisett, MA 02739-1652

Mailing address

61 County Rd
Mattapoisett, MA 02739-1652
Phone (508) 758-6913

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
I20160316000635 MA Order and Referring Only - DentistPractitioner - Dentist 3779889852

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D8529ORMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Feras Awad, DDS, PC Dentist 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256169600000",
    "number": "1881664712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 COUNTY RD",
            "city": "MATTAPOISETT",
            "state": "MA",
            "postal_code": "027391652",
            "telephone_number": "508-758-6913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 COUNTY RD",
            "city": "MATTAPOISETT",
            "state": "MA",
            "postal_code": "027391652",
            "telephone_number": "508-758-6913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AWAD",
        "first_name": "FERAS",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-24",
        "last_updated": "2009-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D8529",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1855041",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mattapoisett, MA

Sources for this page

Verify at the official NPI Registry.