NPIMap

Organization Active NPI

Danvers Dental Associates, LLC

  • General Practice Dentistry
  • Danvers, MA
National Provider Identifier
1053674309
Registry record updated Jun 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
19454 Issued in MA
Legal business name
DANVERS DENTAL ASSOCIATES, LLC
Practice address
83 Elm St
Danvers, MA 01923-2836
Phone
(978) 774-1531
Fax
(978) 774-5755
NPI assigned
Jun 21, 2012
Last updated
Jun 21, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2012

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

Authorized official

Name
Dr. Brett Patrick Mansfield, D.M.D.NPI 1912061300
Title
Manager
Phone
(978) 774-1531

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 19454 MA Primary

Addresses

Primary practice location

83 Elm St
Danvers, MA 01923-2836

Mailing address

83 Elm St
Danvers, MA 01923-2836
Phone (978) 774-1531

National Provider Directory

National Provider Directory

Locations

83 Elm St
Danvers, MA 01923
Phone (978) 774-1531

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": "1340236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340236800000",
    "number": "1053674309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 ELM ST",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019232836",
            "telephone_number": "978-774-1531",
            "fax_number": "978-774-5755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 ELM ST",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019232836",
            "telephone_number": "978-774-1531",
            "fax_number": "978-774-5755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANVERS DENTAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-21",
        "last_updated": "2012-06-21",
        "status": "A",
        "authorized_official_last_name": "MANSFIELD",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "978-774-1531",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "19454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danvers, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2012; 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.