NPIMap

Organization Active NPI

Sam Alkhoury DMD PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Rutland, MA
National Provider Identifier
1942799010
Registry record updated May 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DN20511 Issued in MA
Legal business name
SAM ALKHOURY DMD PC
Practice address
87 Main St
Rutland, MA 01543-1327
Phone
(508) 589-8270
Fax
(508) 435-2690
NPI assigned
May 4, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2018

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

Authorized official

Name
Houssam Alkhoury
Title
Owner
Phone
(508) 589-8270

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X DN20511 MA Primary

Addresses

Primary practice location

87 Main St
Rutland, MA 01543-1327

Mailing address

87 Elm St Ste 302
Hopkinton, MA 01748-1638
Phone (508) 589-8270

Other names 1

  • Simply Orthodontics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sam Alkhoury DMD PC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1525392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525392000000",
    "number": "1942799010",
    "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",
            "fax_number": "508-435-2690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 MAIN ST",
            "city": "RUTLAND",
            "state": "MA",
            "postal_code": "015431327",
            "telephone_number": "508-589-8270",
            "fax_number": "508-435-2690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAM ALKHOURY DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-04",
        "last_updated": "2018-05-04",
        "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"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MA",
            "license": "DN20511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Simply Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rutland, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2018; 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.