Organization Active NPI

Konstantin Ronkin DMD and Evetta Shwartzman DMD PC

Doing business as Dream Smile Dental

  • General Practice Dentistry
  • Canton, MA
National Provider Identifier
1053473488
Registry record updated Jan 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
18420 Issued in MA
Legal business name
KONSTANTIN RONKIN DMD AND EVETTA SHWARTZMAN DMD PC
Doing business as
Dream Smile Dental
Practice address
2184 Washington St
Canton, MA 02021
Phone
(781) 828-4568
Fax
(781) 575-0183
NPI assigned
Dec 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2017

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

Authorized official

Name
Mrs. Lana Belov
Title
Office Manager
Phone
(781) 828-4568

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 18420 MA Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 18421 MA

Addresses

Primary practice location

2184 Washington St
Canton, MA 02021

Mailing address

2184 Washington St
Canton, MA 02021
Phone (781) 828-4568

Other names 1

  • Dream Smile Dental Doing business as

National Provider Directory

National Provider Directory

Locations

2184 Washington St
Canton, MA 02021
Phone (781) 821-0460

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485129600000",
    "number": "1053473488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2184 WASHINGTON ST",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "02021",
            "telephone_number": "781-828-4568",
            "fax_number": "781-575-0183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2184 WASHINGTON ST",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "02021",
            "telephone_number": "781-828-4568",
            "fax_number": "781-575-0183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KONSTANTIN RONKIN DMD AND EVETTA SHWARTZMAN DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2017-01-23",
        "status": "A",
        "authorized_official_last_name": "BELOV",
        "authorized_official_first_name": "LANA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "781-828-4568",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "18420",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "18421",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dream Smile Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Canton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2017; 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.