NPIMap

Organization Active NPI

Scituate Periodontics LLC

  • Periodontics
  • Scituate, MA
National Provider Identifier
1922315910
Registry record updated Sep 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
20988 Issued in MA
Legal business name
SCITUATE PERIODONTICS LLC
Practice address
56 New Driftway
Suite 201
Scituate, MA 02066-4533
Phone
(781) 545-7800
Fax
(781) 545-7801
NPI assigned
Sep 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2010

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

Authorized official

Name
Dr. Mohamed Hassan, DMD,BDS,MS,FICD
Title
Owner
Phone
(781) 545-7800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X 20988 MA Primary

Addresses

Primary practice location

56 New Driftway
Suite 201
Scituate, MA 02066-4533

Mailing address

56 New Driftway
Suite 201
Scituate, MA 02066-4533
Phone (781) 545-7800

National Provider Directory

National Provider Directory

Locations

56 New Driftway
Ste 201
Scituate, MA 02066
Phone (781) 545-1551

NPI Registry JSON

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

{
    "created_epoch": "1284249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284249600000",
    "number": "1922315910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 NEW DRIFTWAY",
            "address_2": "SUITE 201",
            "city": "SCITUATE",
            "state": "MA",
            "postal_code": "020664533",
            "telephone_number": "781-545-7800",
            "fax_number": "781-545-7801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 NEW DRIFTWAY",
            "address_2": "SUITE 201",
            "city": "SCITUATE",
            "state": "MA",
            "postal_code": "020664533",
            "telephone_number": "781-545-7800",
            "fax_number": "781-545-7801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCITUATE PERIODONTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-12",
        "last_updated": "2010-09-12",
        "status": "A",
        "authorized_official_last_name": "HASSAN",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-545-7800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD,BDS,MS,FICD"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "MA",
            "license": "20988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scituate, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2010; 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.