NPIMap

Organization Active NPI

New Concepts Dental Group

  • General Practice Dentistry
  • North Billerica, MA
National Provider Identifier
1053564633
Registry record updated Oct 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
NEW CONCEPTS DENTAL GROUP
Practice address
330 Boston Rd
Suite16
North Billerica, MA 01862-2300
Phone
(978) 663-7638
Fax
(978) 667-9856
NPI assigned
Oct 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2008

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

Authorized official

Name
Carmita So
Title
Office Manager
Phone
(978) 663-7638

Specialties & licenses 1

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

Addresses

Primary practice location

330 Boston Rd
Suite16
North Billerica, MA 01862-2300

Mailing address

330 Boston Rd
Suite16
North Billerica, MA 01862-2300
Phone (976) 663-7638

National Provider Directory

National Provider Directory
Tax ID family
Janet S Krefting DDS Richard W Waldman Dmdpc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

330 Boston Rd
Ste 16
North Billerica, MA 01862
Phone (978) 663-7638

NPI Registry JSON

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225152000000",
    "number": "1053564633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 BOSTON RD",
            "address_2": "SUITE16",
            "city": "NORTH BILLERICA",
            "state": "MA",
            "postal_code": "018622300",
            "telephone_number": "976-663-7638",
            "fax_number": "978-667-9856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 BOSTON RD",
            "address_2": "SUITE16",
            "city": "NORTH BILLERICA",
            "state": "MA",
            "postal_code": "018622300",
            "telephone_number": "978-663-7638",
            "fax_number": "978-667-9856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW CONCEPTS DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-28",
        "last_updated": "2008-10-28",
        "status": "A",
        "authorized_official_last_name": "SO",
        "authorized_official_first_name": "CARMITA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "978-663-7638"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Billerica, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; 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.