NPIMap

Organization Active NPI

Ludlow Family Dentistry

  • Dentist
  • Ludlow, MA
National Provider Identifier
1043429913
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
17931 Issued in MA
Legal business name
LUDLOW FAMILY DENTISTRY
Practice address
257 Kendall St
Ludlow, MA 01056-1055
Phone
(413) 583-6574
NPI assigned
May 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Frank J Mitera, D.M.D.F.A.G.D.NPI 1598898553
Title
Partner
Phone
(413) 583-6574

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 MULTIPLE SINGLE SPECIALTY GROUP 122300000X 17931 MA Primary

Addresses

Primary practice location

257 Kendall St
Ludlow, MA 01056-1055

Mailing address

257 Kendall St
Ludlow, MA 01056-1055
Phone (413) 583-6574

National Provider Directory

National Provider Directory

Locations

257 Kendall St
Ludlow, MA 01056
Phone (413) 583-6574

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043429913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "257 KENDALL ST",
            "city": "LUDLOW",
            "state": "MA",
            "postal_code": "010561055",
            "telephone_number": "413-583-6574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "257 KENDALL ST",
            "city": "LUDLOW",
            "state": "MA",
            "postal_code": "010561055",
            "telephone_number": "413-583-6574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUDLOW FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MITERA",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "413-583-6574",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D.F.A.G.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MA",
            "license": "17931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ludlow, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.