Baystate Dental PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN20704 Issued in MA

Legal business name

BAYSTATE DENTAL PC

Practice address

516 Montgomery St
Chicopee, MA 01020-1469

Phone

(413) 534-5144

NPI assigned

May 8, 2012

Last updated

May 8, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Matthew J Haluch, DDSNPI 1588619332

Title

Coo

Phone

(413) 733-5700

Specialties & licenses 1

Addresses

Locations

Practitioners 4

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.

• Matthew John Haluch, DDS

  • General Practice Dentistry
  • Springfield, MA
  • NPI 1588619332
  NPD (past) Authorized official
• Konbo Princewill, D.M.D

  • Dentist
  • Springfield, MA
  • NPI 1083846323
  NPD (past)
• Obioma Anuli Princewill, DMD

  • General Practice Dentistry
  • Springfield, MA
  • NPI 1871723106
  NPD (past)
• Hannah Mayer Hughes, DMD

  • General Practice Dentistry
  • Windsor, CT
  • NPI 1598105389
  NPD (past)

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

{
    "created_epoch": "1336435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336435200000",
    "number": "1013276211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1795 MAIN ST",
            "address_2": "SUITE 212",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011031077",
            "telephone_number": "413-733-5700",
            "fax_number": "413-439-0563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 MONTGOMERY ST",
            "city": "CHICOPEE",
            "state": "MA",
            "postal_code": "010201469",
            "telephone_number": "413-534-5144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSTATE DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-08",
        "last_updated": "2012-05-08",
        "status": "A",
        "authorized_official_last_name": "HALUCH",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "413-733-5700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN20704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Barber
• Patrick A Barnett, MD
• Sandra Bartoszewicz
• Daria Ruth Basiibye
• Haruna Bature
• Amber Marie Beauchemin
• Miriah D Beaudoin
• Hannah Rose Beaulac, BA
• James Bell, MD
• Christopher James Bellany

• General Practice Dentistry in Chicopee, MA
• Providers in Chicopee, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2012; 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.