NPIMap

Organization Active NPI

Alpha Dental Center of Dartmouth, LLC

  • General Practice Dentistry
  • South Dartmouth, MA
National Provider Identifier
1053875435
Registry record updated Jan 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ALPHA DENTAL CENTER OF DARTMOUTH, LLC
Practice address
643 Dartmouth St
South Dartmouth, MA 02748-2511
Phone
(508) 994-5278
NPI assigned
Jan 30, 2019
Organization subpart
Yes
Parent organization
ALPHA DENTAL CENTER OF DARTMOUTH, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 30, 2019

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

Authorized official

Name
Mardy Costa
Title
Administrator
Phone
(508) 728-5019

Specialties & licenses 1

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

Addresses

Primary practice location

643 Dartmouth St
South Dartmouth, MA 02748-2511

Mailing address

643 Dartmouth St
South Dartmouth, MA 02748-2511
Phone (508) 994-5278

National Provider Directory

National Provider Directory
Tax ID family
Alpha Dental Center of Dartmouth LLC2 organizations share this tax ID, including this one
Part of
Alpha Dental Center of Dartmouth LLC

Other organizations with this tax ID 1

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

Locations

643 Dartmouth St
South Dartmouth, MA 02748
Phone (508) 994-5278

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1548806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548806400000",
    "number": "1053875435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "643 DARTMOUTH ST",
            "city": "SOUTH DARTMOUTH",
            "state": "MA",
            "postal_code": "027482511",
            "telephone_number": "508-994-5278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "643 DARTMOUTH ST",
            "city": "SOUTH DARTMOUTH",
            "state": "MA",
            "postal_code": "027482511",
            "telephone_number": "508-994-5278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA DENTAL CENTER OF DARTMOUTH, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALPHA DENTAL CENTER OF DARTMOUTH, LLC",
        "enumeration_date": "2019-01-30",
        "last_updated": "2019-01-30",
        "status": "A",
        "authorized_official_last_name": "COSTA",
        "authorized_official_first_name": "MARDY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "508-728-5019"
    },
    "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 South Dartmouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2019; 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.