NPIMap

Organization Active NPI

Kristine a Grazioso DMD PC

Doing business as South Shore Childrens Dentistry

  • Pediatric Dentistry
  • Cohasset, MA
National Provider Identifier
1053402008
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
D18935 Issued in MA
Legal business name
KRISTINE A GRAZIOSO DMD PC
Doing business as
South Shore Childrens Dentistry
Practice address
223 Route 3a
Suite 102
Cohasset, MA 02025
Phone
(781) 383-0003
Fax
(781) 383-0032
NPI assigned
Sep 27, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Kristine A Grazioso, DMDNPI 1982741955
Title
President Owner
Phone
(781) 383-0003

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X D18935 MA Primary

Addresses

Primary practice location

223 Route 3a
Suite 102
Cohasset, MA 02025

Mailing address

223 Route 3a
Suite 102
Cohasset, MA 02025
Phone (781) 383-0003

Other names 1

  • South Shore Childrens Dentistry Doing business as

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": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053402008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 ROUTE 3A",
            "address_2": "SUITE 102",
            "city": "COHASSET",
            "state": "MA",
            "postal_code": "02025",
            "telephone_number": "781-383-0003",
            "fax_number": "781-383-0032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 ROUTE 3A",
            "address_2": "SUITE 102",
            "city": "COHASSET",
            "state": "MA",
            "postal_code": "02025",
            "telephone_number": "781-383-0003",
            "fax_number": "781-383-0032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTINE A GRAZIOSO DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRAZIOSO",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "781-383-0003",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MA",
            "license": "D18935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Shore Childrens Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cohasset, 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.