NPIMap

Organization Active NPI

Commonwealth Pediatric Dental

  • Pediatric Dentistry
  • Raynham, MA
National Provider Identifier
1073853289
Registry record updated Feb 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DN1855240 Issued in MA
Legal business name
COMMONWEALTH PEDIATRIC DENTAL
Practice address
302 Broadway Unit 1
Raynham, MA 02767-1439
Phone
(508) 884-4000
Fax
(508) 884-4003
NPI assigned
Feb 25, 2013
Last updated
Feb 25, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2013

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

Authorized official

Name
Dr. Raymond Michael Murphy Jr., D.M.DNPI 1518259886
Title
Owner/President
Phone
(508) 884-4000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X DN1855240 MA Primary

Addresses

Primary practice location

302 Broadway Unit 1
Raynham, MA 02767-1439

Mailing address

302 Broadway Unit 1
Raynham, MA 02767-1439
Phone (508) 884-4000

National Provider Directory

National Provider Directory
Tax ID family
Commonwealth Pediatric Dental PC2 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

302 Broadway
Unit 1
Raynham, MA 02767
Phone (508) 823-7522

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

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": "1361750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361750400000",
    "number": "1073853289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 BROADWAY UNIT 1",
            "city": "RAYNHAM",
            "state": "MA",
            "postal_code": "027671439",
            "telephone_number": "508-884-4000",
            "fax_number": "508-884-4003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 BROADWAY UNIT 1",
            "city": "RAYNHAM",
            "state": "MA",
            "postal_code": "027671439",
            "telephone_number": "508-884-4000",
            "fax_number": "508-884-4003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONWEALTH PEDIATRIC DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-25",
        "last_updated": "2013-02-25",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "508-884-4000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MA",
            "license": "DN1855240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raynham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2013; 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.