NPIMap

Organization Active NPI

Eugene Bark DMD and Ssociates PC

  • Dentist
  • Roslindale, MA
National Provider Identifier
1063668028
Registry record updated Aug 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
20977 Issued in MA
Legal business name
EUGENE BARK DMD AND SSOCIATES PC
Practice address
152 Belgrade Ave
Roslindale, MA 02131-2433
Phone
(617) 327-0600
NPI assigned
Aug 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2008

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

Authorized official

Name
Dr. Eugene Bark
Title
Owner/Dentist
Phone
(617) 327-0600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 20977 MA Primary

Addresses

Primary practice location

152 Belgrade Ave
Roslindale, MA 02131-2433

Mailing address

152 Belgrade Ave
Roslindale, MA 02131-2433
Phone (617) 327-0600

National Provider Directory

National Provider Directory
Tax ID family
Broadway Dental2 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

152 Belgrade Ave
Roslindale, MA 02131
Phone (617) 327-0600

NPI Registry JSON

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

{
    "created_epoch": "1218412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218412800000",
    "number": "1063668028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 BELGRADE AVE",
            "city": "ROSLINDALE",
            "state": "MA",
            "postal_code": "021312433",
            "telephone_number": "617-327-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 BELGRADE AVE",
            "city": "ROSLINDALE",
            "state": "MA",
            "postal_code": "021312433",
            "telephone_number": "617-327-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUGENE BARK DMD AND SSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-11",
        "last_updated": "2008-08-11",
        "status": "A",
        "authorized_official_last_name": "BARK",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "617-327-0600",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MA",
            "license": "20977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roslindale, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.