Desjardins Management Inc.

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

DESJARDINS MANAGEMENT INC.

Practice address

1484 Gorham St
Lowell, MA 01852-5241

Phone

(978) 459-4949

Fax

(978) 453-2828

NPI assigned

Nov 11, 2008

Organization subpart

Yes

Parent organization

DESJARDINS MANAGEMNT INC.As reported in NPPES

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

Authorized official

Name

Mrs. Lilian Coralia Desjardins

Title

President

Phone

(978) 459-4949

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Community Dentists Doing business as

Tax ID family

Desjardins Management Inc3 organizations share this tax ID, including this one

Part of

Desjardins Management Inc

Other organizations with this tax ID 2

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

• Desjardins Management Inc.

  • General Practice Dentistry
  • Lawrence, MA
  • NPI 1609911569
  NPD tax ID
• Desjardins Management Inc.

  • Dentist
  • Lawrence, MA
  • NPI 1780826883
  NPD tax ID

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

{
    "created_epoch": "1226361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407283200000",
    "number": "1003060575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1484 GORHAM ST",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018525241",
            "telephone_number": "978-459-4949",
            "fax_number": "978-453-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1484 GORHAM ST",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018525241",
            "telephone_number": "978-459-4949",
            "fax_number": "978-453-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESJARDINS MANAGEMENT INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DESJARDINS MANAGEMNT INC.",
        "enumeration_date": "2008-11-11",
        "last_updated": "2014-08-06",
        "status": "A",
        "authorized_official_last_name": "DESJARDINS",
        "authorized_official_first_name": "LILIAN",
        "authorized_official_middle_name": "CORALIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-459-4949",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9752170",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Dentists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelly Anne Desantis
• Ann Mary Descoteaux, F.N.P.
• Russell John Deshaies, OTR
• Carolynn Deshler, HBCE
• Olivia Desilets
• Kelly Anne Desjardins, B.A.
• Andrea Jennifer Desmond, APRN, AGACNP-BC
• Erin A Desmond, PA-C
• Sonia C Desousa
• Destiny Services Inc

• Dentist in Lowell, MA
• Providers in Lowell, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2014; 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.