NPIMap

Organization Active NPI

Brighton Dental Group LLC

  • Prosthodontics
  • Brighton, MA
National Provider Identifier
1013153048
Registry record updated Dec 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
20789 Issued in MA
Legal business name
BRIGHTON DENTAL GROUP LLC
Practice address
1607 Commonwealth Ave
Suite #3
Brighton, MA 02135-4214
Phone
(617) 782-5455
Fax
(617) 782-5452
NPI assigned
Dec 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2008

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

Authorized official

Name
Dr. Nopsaran Chaimattayompol, DMD
Title
Director
Phone
(617) 782-5455

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ProsthodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0700X 20789 MA Primary

Addresses

Primary practice location

1607 Commonwealth Ave
Suite #3
Brighton, MA 02135-4214

Mailing address

1607 Commonwealth Ave
Suite #3
Brighton, MA 02135-4214
Phone (617) 782-5455

National Provider Directory

National Provider Directory

Locations

1607 Commonwealth Ave
Ste 3
Brighton, MA 02135
Phone (617) 782-5455

NPI Registry JSON

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

{
    "created_epoch": "1229904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229904000000",
    "number": "1013153048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1607 COMMONWEALTH AVE",
            "address_2": "SUITE #3",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021354214",
            "telephone_number": "617-782-5455",
            "fax_number": "617-782-5452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1607 COMMONWEALTH AVE",
            "address_2": "SUITE #3",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021354214",
            "telephone_number": "617-782-5455",
            "fax_number": "617-782-5452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTON DENTAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-22",
        "last_updated": "2008-12-22",
        "status": "A",
        "authorized_official_last_name": "CHAIMATTAYOMPOL",
        "authorized_official_first_name": "NOPSARAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "617-782-5455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "MA",
            "license": "20789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.