JP Family Dental PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

20485 Issued in MA

Legal business name

JP FAMILY DENTAL PC

Practice address

315 Centre St Ste 3
Jamaica Plain, MA 02130-1414

Phone

(617) 524-5400

NPI assigned

Jan 16, 2007

Organization subpart

No

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

Authorized official

Name

Julia Faigel, DMD

Title

President

Phone

(617) 524-5400

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073664819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 CENTRE ST STE 3",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021301414",
            "telephone_number": "617-524-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 CENTRE ST STE 3",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021301414",
            "telephone_number": "617-524-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JP FAMILY DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FAIGEL",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-524-5400",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "20485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0203980",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Theodus J Jordan, REVEREND
• Giftson Samuel Joseph
• Nancy Joseph, NP
• Roudna Esther Joseph, LICSW
• JP Family Chiropactic Inc
• JP Midwifery
• Nereida Juarbe
• Deborah S Judd, MSW
• Lawrence Kahn, LRC
• Nancy H Kahn, MD

• General Practice Dentistry in Jamaica Plain, MA
• Providers in Jamaica Plain, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.