Active NPI
Noor Abdulkareem
- General Practice Dentistry
- Quincy, MA
National Provider Identifier
1932809662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 1860035
- Practice address
- 1530 Hancock St
Quincy, MA 02169-5205 - Phone
- (617) 934-5338
- NPI assigned
- Mar 10, 2023
- Last updated
- Jan 23, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 1860035 | MA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | NU |
Addresses
Primary practice location
1530 Hancock St
Quincy, MA 02169-5205
Mailing address
1 Avalon Dr Unit 1417
Quincy, MA 02169-2467
Phone (980) 322-5193
Other practice location 1
1 Avalon Dr Unit 1417
Quincy, MA 02169-2467
Phone (980) 322-5193
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 |
|---|---|---|---|
| 1860035 | MA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705968000000",
"number": "1932809662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 AVALON DR UNIT 1417",
"city": "QUINCY",
"state": "MA",
"postal_code": "021692467",
"telephone_number": "980-322-5193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1530 HANCOCK ST",
"city": "QUINCY",
"state": "MA",
"postal_code": "021695205",
"telephone_number": "617-934-5338"
}
],
"practiceLocations": [
{
"address_1": "1 Avalon Dr Unit 1417",
"address_purpose": "LOCATION",
"city": "Quincy",
"state": "MA",
"postal_code": "021692467",
"country_code": "US",
"telephone_number": "980-322-5193",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ABDULKAREEM",
"first_name": "NOOR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-10",
"last_updated": "2024-01-23",
"certification_date": "2024-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MA",
"license": "1860035",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
}
],
"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 23, 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.