NPIMap

Organization Active NPI

Northern Light Dental, PLLC

  • Dentist
  • Norwood, MA
National Provider Identifier
1023856374
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
NORTHERN LIGHT DENTAL, PLLC
Practice address
648 Washington St Ste 204
Norwood, MA 02062-3575
Phone
(781) 551-0235
NPI assigned
Jul 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Authorized official

Name
Chuyen HsuNPI 1568148013
Title
Employee
Phone
(617) 671-9607

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

648 Washington St Ste 204
Norwood, MA 02062-3575

Mailing address

3000 Presidents Way Apt 3211
Dedham, MA 02026-4579
Phone (617) 671-9607

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1721260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721260800000",
    "number": "1023856374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 PRESIDENTS WAY APT 3211",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "020264579",
            "telephone_number": "617-671-9607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "648 WASHINGTON ST STE 204",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020623575",
            "telephone_number": "781-551-0235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN LIGHT DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-18",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A",
        "authorized_official_last_name": "HSU",
        "authorized_official_first_name": "CHUYEN",
        "authorized_official_title_or_position": "EMPLOYEE",
        "authorized_official_telephone_number": "617-671-9607"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwood, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; 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.