NPIMap

Organization Active NPI

Quinsigamond Dental

  • General Practice Dentistry
  • Shrewsbury, MA
National Provider Identifier
1043641384
Registry record updated Dec 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
19562 Issued in MA
Legal business name
QUINSIGAMOND DENTAL
Practice address
19 N Quinsigamond Ave
Shrewsbury, MA 01545-2407
Phone
(508) 421-9355
NPI assigned
Dec 12, 2013
Last updated
Dec 12, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2013

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

Authorized official

Name
Dr. Jack Xu, DMDNPI 1104041615
Title
Owner
Phone
(508) 421-9355

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
General Practice Dentistry 1223G0001X 19562 MA Primary

Addresses

Primary practice location

19 N Quinsigamond Ave
Shrewsbury, MA 01545-2407

Mailing address

19 N Quinsigamond Ave
Shrewsbury, MA 01545-2407
Phone (508) 421-9355

National Provider Directory

National Provider Directory

Locations

19 N Quinsigamond Ave
Shrewsbury, MA 01545
Phone (508) 421-9355

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1386806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386806400000",
    "number": "1043641384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 N QUINSIGAMOND AVE",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015452407",
            "telephone_number": "508-421-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 N QUINSIGAMOND AVE",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015452407",
            "telephone_number": "508-421-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUINSIGAMOND DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-12",
        "last_updated": "2013-12-12",
        "status": "A",
        "authorized_official_last_name": "XU",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-421-9355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "19562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shrewsbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2013; 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.