NPIMap

Organization Active NPI

Quincy High Care Dentistry

  • Dental Clinic/Center
  • Quincy, MA
National Provider Identifier
1912277963
Registry record updated Jan 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DN22158 Issued in MA
Legal business name
QUINCY HIGH CARE DENTISTRY
Practice address
67 Coddington St
Suite LL1
Quincy, MA 02169-4511
Phone
(862) 588-6574
NPI assigned
Jan 9, 2012
Last updated
Jan 9, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2012

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

Authorized official

Name
Dr. Moataz Mohammed Shaban, DMD
Title
Manager
Phone
(862) 588-6574

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DN22158 MA Primary

Addresses

Primary practice location

67 Coddington St
Suite LL1
Quincy, MA 02169-4511

Mailing address

67 Coddington St
Suite LL1
Quincy, MA 02169-4511
Phone (862) 588-6574

National Provider Directory

National Provider Directory

Locations

67 Coddington St
Ste LL1
Quincy, MA 02169
Phone (862) 588-6574

NPI Registry JSON

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

{
    "created_epoch": "1326067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326067200000",
    "number": "1912277963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 CODDINGTON ST",
            "address_2": "SUITE LL1",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021694511",
            "telephone_number": "862-588-6574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 CODDINGTON ST",
            "address_2": "SUITE LL1",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021694511",
            "telephone_number": "862-588-6574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUINCY HIGH CARE DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-09",
        "last_updated": "2012-01-09",
        "status": "A",
        "authorized_official_last_name": "SHABAN",
        "authorized_official_first_name": "MOATAZ",
        "authorized_official_middle_name": "MOHAMMED",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "862-588-6574",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MA",
            "license": "DN22158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2012; 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.