NPIMap

Organization Active NPI

DTC Dental Care Inc

  • Endodontics
  • Worcester, MA
National Provider Identifier
1023315678
Registry record updated Feb 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
21541 Issued in MA
Legal business name
DTC DENTAL CARE INC
Practice address
15 Salem St
Worcester, MA 01608
Phone
(508) 667-6571
Fax
(508) 630-0322
NPI assigned
Feb 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2011

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

Authorized official

Name
Dr. John Lee Miller, DDS
Title
Endodontist
Phone
(617) 894-4220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223E0200X 21541 MA Primary

Addresses

Primary practice location

15 Salem St
Worcester, MA 01608

Mailing address

52 St Ives Way
31
Marlborough, MA 01752-5915
Phone (508) 667-6571

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1297900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297900800000",
    "number": "1023315678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 ST IVES WAY",
            "address_2": "31",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017525915",
            "telephone_number": "508-667-6571",
            "fax_number": "508-630-0322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 SALEM ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "01608",
            "telephone_number": "508-667-6571",
            "fax_number": "508-630-0322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DTC DENTAL CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-17",
        "last_updated": "2011-02-17",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "ENDODONTIST",
        "authorized_official_telephone_number": "617-894-4220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "MA",
            "license": "21541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2011; 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.