Nadia P Groom DMD PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

NADIA P GROOM DMD PC

Practice address

129 Main Street Route 28
West Harwich, MA 02671

Phone

(508) 255-0557

Fax

(774) 209-3646

NPI assigned

Mar 12, 2021

Organization subpart

No

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

Authorized official

Name

Stephanie Tenney, RDH

Title

Office Manager

Phone

(508) 255-0557

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Nadezhda Dmitrievna Pokrovskaya, D.M.D.

  • General Practice Dentistry
  • Clearwater, FL
  • NPI 1720316250
  NPD

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

{
    "created_epoch": "1615507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615507200000",
    "number": "1083299945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 MAIN STREET ROUTE 28",
            "city": "WEST HARWICH",
            "state": "MA",
            "postal_code": "02671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 MAIN STREET ROUTE 28",
            "city": "WEST HARWICH",
            "state": "MA",
            "postal_code": "02671",
            "telephone_number": "508-255-0557",
            "fax_number": "774-209-3646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NADIA P GROOM DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-12",
        "last_updated": "2021-03-12",
        "certification_date": "2021-03-11",
        "status": "A",
        "authorized_official_last_name": "TENNEY",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "508-255-0557",
        "authorized_official_credential": "RDH"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Wright
• Wayne Hjerpe, O.D.
• Breanne Kelly
• Pauline Linnell
• Heather McGowan, RD, LDN
• Ralph M Porter, M.D.
• Sidney Adam Raiski, DMD
• Deborah Salant, LICSW
• Brendan Vannatter, D.C.
• Wayne G. Hjerpe

• General Practice Dentistry in West Harwich, MA
• Providers in West Harwich, 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 Mar 12, 2021; 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.