Simply Orthodontics and Pediatrics Fitchburg PLLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DN20511 Issued in MA

Legal business name

SIMPLY ORTHODONTICS AND PEDIATRICS FITCHBURG PLLC

Practice address

50 Whalon St Ste 1
Fitchburg, MA 01420

Phone

(508) 589-8270

NPI assigned

Dec 20, 2017

Organization subpart

No

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

Authorized official

Name

Houssam Alkhoury, DMD

Title

Owner

Phone

(508) 589-8270

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1513728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513728000000",
    "number": "1932615499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 ELM ST STE 302",
            "city": "HOPKINTON",
            "state": "MA",
            "postal_code": "017481638",
            "telephone_number": "508-589-8270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 WHALON ST STE 1",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "01420",
            "telephone_number": "508-589-8270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLY ORTHODONTICS AND PEDIATRICS FITCHBURG PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-20",
        "last_updated": "2017-12-20",
        "status": "A",
        "authorized_official_last_name": "ALKHOURY",
        "authorized_official_first_name": "HOUSSAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-589-8270",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MA",
            "license": "DN20511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Siegel, LPN
• Jonhathan Jose Silva
• Mishayla Silver
• Darren Simmons
• Madison Simon
• Jennifer Simpson, MSW, LICSW
• Kamron Marquis Sims
• Sybil Sinclair, RN
• Candi Lynn Sisterhenm, LCSW
• Lauren Jean Slater, ED.D

• Orthodontics and Dentofacial Orthopedics Dentistry in Fitchburg, MA
• Providers in Fitchburg, MA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2017; 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.