Organization Active NPI

Omar Salem DMD Ms PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • West Bridgewater, MA
National Provider Identifier
1952435646
Registry record updated Jul 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
21358 Issued in MA
Legal business name
OMAR SALEM DMD MS PC
Practice address
120 West Center St
West Bridgewater, MA 02379
Phone
(508) 588-6500
Fax
(508) 588-6030
NPI assigned
Mar 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2008

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

Authorized official

Name
Omar Salem, DMD, MSD
Title
Owner President
Phone
(508) 588-6500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 21358 MA Primary

Addresses

Primary practice location

120 West Center St
West Bridgewater, MA 02379

Mailing address

120 West Center St
West Bridgewater, MA 02379
Phone (508) 588-6500

Other identifiers 1

IdentifierTypeStateIssuer
9902870MedicaidMA

National Provider Directory

National Provider Directory
Tax ID family
Omar Salem DMD Ms PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215734400000",
    "number": "1952435646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 WEST CENTER ST",
            "city": "WEST BRIDGEWATER",
            "state": "MA",
            "postal_code": "02379",
            "telephone_number": "508-588-6500",
            "fax_number": "508-588-6030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 WEST CENTER ST",
            "city": "WEST BRIDGEWATER",
            "state": "MA",
            "postal_code": "02379",
            "telephone_number": "508-588-6500",
            "fax_number": "508-588-6030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMAR SALEM DMD MS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2008-07-11",
        "status": "A",
        "authorized_official_last_name": "SALEM",
        "authorized_official_first_name": "OMAR",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "508-588-6500",
        "authorized_official_credential": "DMD, MSD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MA",
            "license": "21358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9902870",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bridgewater, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2008; 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.