Thafur Shemmeri, DMD,MSCD,DSCD,PC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

THAFUR SHEMMERI, DMD,MSCD,DSCD,PC

Practice address

100 Whalon St
Fitchburg, MA 01420

Phone

(978) 342-3004

Fax

(978) 343-7959

NPI assigned

Apr 9, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Thafur Shemmeri

Title

Owner

Phone

(978) 342-3004

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207699200000",
    "number": "1003089228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WHALON ST",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "01420",
            "telephone_number": "978-342-3004",
            "fax_number": "978-343-7959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WHALON ST",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "01420",
            "telephone_number": "978-342-3004",
            "fax_number": "978-343-7959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THAFUR SHEMMERI, DMD,MSCD,DSCD,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-09",
        "last_updated": "2008-04-09",
        "status": "A",
        "authorized_official_last_name": "SHEMMERI",
        "authorized_official_first_name": "THAFUR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-342-3004",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0215261",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Dentistry in Fitchburg, MA
• Providers in Fitchburg, MA by specialty
• Pediatric Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.