NPIMap

Organization Active NPI

Emb Dental, LLC

  • Dentist
  • Sudbury, MA
National Provider Identifier
1952846370
Registry record updated Dec 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN22191 Issued in MA
Legal business name
EMB DENTAL, LLC
Practice address
15 Concord Rd
Sudbury, MA 01776-2328
Phone
(978) 467-4999
NPI assigned
Dec 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2016

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

Authorized official

Name
Dr. Marhama Alvi-Shah, DMD
Title
Owner Dentist
Phone
(781) 698-7245

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X DN22191 MA Primary

Addresses

Primary practice location

15 Concord Rd
Sudbury, MA 01776-2328

Mailing address

15 Concord Rd
Sudbury, MA 01776-2328
Phone (978) 467-4999

Other names 1

  • Sudbury Dental Excellence Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1482192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482192000000",
    "number": "1952846370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 CONCORD RD",
            "city": "SUDBURY",
            "state": "MA",
            "postal_code": "017762328",
            "telephone_number": "978-467-4999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 CONCORD RD",
            "city": "SUDBURY",
            "state": "MA",
            "postal_code": "017762328",
            "telephone_number": "978-467-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMB DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-20",
        "last_updated": "2016-12-20",
        "status": "A",
        "authorized_official_last_name": "ALVI-SHAH",
        "authorized_official_first_name": "MARHAMA",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "781-698-7245",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN22191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sudbury Dental Excellence",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sudbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2016; 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.