Organization Active NPI

Acton Family Dental Care, Inc.

  • General Practice Dentistry
  • Acton, MA
National Provider Identifier
1003193939
Registry record updated Jun 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
21145 Issued in MA
Legal business name
ACTON FAMILY DENTAL CARE, INC.
Practice address
249 Central St
Acton, MA 01720-2804
Phone
(978) 263-7067
Fax
(978) 264-9737
NPI assigned
Nov 6, 2011
Last updated
Jun 6, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2021

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

Authorized official

Name
Yuan Yao, DMDNPI 1043439490
Title
Owner
Phone
(978) 263-7067

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 21145 MA Primary

Addresses

Primary practice location

249 Central St
Acton, MA 01720-2804

Mailing address

249 Central St
Acton, MA 01720-2804
Phone (978) 263-7067

Other identifiers 1

IdentifierTypeStateIssuer
1043439490OtherMANPI TYPE 1

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address yao@docyao.com Direct

National Provider Directory

National Provider Directory

Locations

249 Central St
Acton, MA 01720
Phone (978) 263-7067

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1320537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622937600000",
    "number": "1003193939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 CENTRAL ST",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017202804",
            "telephone_number": "978-263-7067",
            "fax_number": "978-264-9737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 CENTRAL ST",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017202804",
            "telephone_number": "978-263-7067",
            "fax_number": "978-264-9737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTON FAMILY DENTAL CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-06",
        "last_updated": "2021-06-06",
        "certification_date": "2021-06-06",
        "status": "A",
        "authorized_official_last_name": "YAO",
        "authorized_official_first_name": "YUAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-263-7067",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "21145",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1043439490",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "yao@docyao.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "249 Central St",
            "city": "Acton",
            "state": "MA",
            "country_code": "US",
            "postal_code": "017202804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Acton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2021; 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.