Organization Active NPI

Mountain View Dental PC

  • General Practice Dentistry
  • Easthampton, MA
National Provider Identifier
1013013804
Registry record updated Sep 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MOUNTAIN VIEW DENTAL PC
Practice address
5 Campus Lane
Easthampton, MA 01027
Phone
(413) 527-2330
Fax
(413) 527-1242
NPI assigned
Sep 16, 2006
Last updated
Sep 10, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2019

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

Authorized official

Name
Mr. Seth Shunryu Eichenlwb, DMD
Title
Owner/Dentist
Phone
(413) 527-2330

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

5 Campus Lane
Easthampton, MA 01027

Mailing address

5 Campus Lane
Easthampton, MA 01027
Phone (413) 527-2330

Other names 1

  • Midura and Szostak P.C Former legal business name

National Provider Directory

National Provider Directory

Locations

5 Campus Ln
Easthampton, MA 01027
Phone (413) 527-2330

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568073600000",
    "number": "1013013804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 CAMPUS LANE",
            "city": "EASTHAMPTON",
            "state": "MA",
            "postal_code": "01027",
            "telephone_number": "413-527-2330",
            "fax_number": "413-527-1242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 CAMPUS LANE",
            "city": "EASTHAMPTON",
            "state": "MA",
            "postal_code": "01027",
            "telephone_number": "413-527-2330",
            "fax_number": "413-527-1242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN VIEW DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2019-09-10",
        "status": "A",
        "authorized_official_last_name": "EICHENLWB",
        "authorized_official_first_name": "SETH",
        "authorized_official_middle_name": "SHUNRYU",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "413-527-2330",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midura and Szostak P.C",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Easthampton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2019; 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.