Organization Active NPI

Commonwealth Pediatric Dental PC

  • Pediatric Dentistry
  • Dartmouth, MA
National Provider Identifier
1003263088
Registry record updated May 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
COMMONWEALTH PEDIATRIC DENTAL PC
Practice address
408 State Rd
Suite 730
Dartmouth, MA 02747-4302
Phone
(508) 884-4000
Fax
(508) 884-4003
NPI assigned
May 19, 2016
Last updated
May 19, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
COMMONWEALTH PEDIATRIC DENTAL PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 19, 2016

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

Authorized official

Name
Dr. Raymond Michael Murphy Jr., DMDNPI 1518259886
Title
Owner
Phone
(508) 884-4000

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
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

408 State Rd
Suite 730
Dartmouth, MA 02747-4302

Mailing address

302 Broadway
Suite 1
Raynham, MA 02767-1439
Phone (508) 884-4000

National Provider Directory

National Provider Directory
Tax ID family
Commonwealth Pediatric Dental2 organizations share this tax ID, including this one
Part of
Commonwealth Pediatric Dental

Other organizations with this tax ID 1

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

Locations

408 State Rd
Ste 730
Dartmouth, MA 02747
Phone (508) 990-3000

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1463616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463616000000",
    "number": "1003263088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 BROADWAY",
            "address_2": "SUITE 1",
            "city": "RAYNHAM",
            "state": "MA",
            "postal_code": "027671439",
            "telephone_number": "508-884-4000",
            "fax_number": "508-884-4003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 STATE RD",
            "address_2": "SUITE 730",
            "city": "DARTMOUTH",
            "state": "MA",
            "postal_code": "027474302",
            "telephone_number": "508-884-4000",
            "fax_number": "508-884-4003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONWEALTH PEDIATRIC DENTAL PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMONWEALTH PEDIATRIC DENTAL PC",
        "enumeration_date": "2016-05-19",
        "last_updated": "2016-05-19",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-884-4000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dartmouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.