Active NPI
Bassam S El-Jamous, DMD, MSD, CAGS
- Periodontics
- North Andover, MA
National Provider Identifier
1972796662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 21922
- Practice address
- 555 Turnpike St
Suite 55
North Andover, MA 01845-5923 - Phone
- (617) 838-0952
- NPI assigned
- Aug 25, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 21922 | MA | Primary |
Addresses
Primary practice location
555 Turnpike St
Suite 55
North Andover, MA 01845-5923
Mailing address
10 Jasper St
Beverly, MA 01915-4814
Phone (617) 838-0952
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 |
|---|---|---|---|
| 21922 | MA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188000000000",
"number": "1972796662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 JASPER ST",
"city": "BEVERLY",
"state": "MA",
"postal_code": "019154814",
"telephone_number": "617-838-0952"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 TURNPIKE ST",
"address_2": "SUITE 55",
"city": "NORTH ANDOVER",
"state": "MA",
"postal_code": "018455923",
"telephone_number": "617-838-0952"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EL-JAMOUS",
"first_name": "BASSAM",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "DMD, MSD, CAGS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-25",
"last_updated": "2007-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "MA",
"license": "21922",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Andover, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.