Newburyport Pediatric Dentistry, P.C.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

21058 Issued in MA

Legal business name

NEWBURYPORT PEDIATRIC DENTISTRY, P.C.

Practice address

7 Graf Rd Ste 2a
Newburyport, MA 01950-4078

Phone

(978) 462-2227

NPI assigned

Apr 6, 2007

Last updated

Jul 27, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Lindi Jane Ezekowitz, DR.NPI 1346217742

Title

Owner

Phone

(978) 462-2227

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, and the practitioner matching its NPPES authorized official.

• Lindi J. Ezekowitz, DDS

  • Pediatric Dentistry
  • Newburyport, MA
  • NPI 1346217742
  NPD Authorized official

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595808000000",
    "number": "1083736185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 GRAF RD STE 2A",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019504078",
            "telephone_number": "978-462-2227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 GRAF RD STE 2A",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019504078",
            "telephone_number": "978-462-2227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWBURYPORT PEDIATRIC DENTISTRY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A",
        "authorized_official_last_name": "EZEKOWITZ",
        "authorized_official_first_name": "LINDI",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-462-2227",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DR."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MA",
            "license": "21058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Newburyport Gi LLC
• Newburyport Medical Associates, Inc
• Newburyport Office of Wellness (Kendra Delgaudio Murphy)
• Newburyport Opco, LLC (Brigham Health and Rehabilitation)
• Newburyport Oral Surgery
• Newburyport Public Schools
• Newburyport SNF Operations LLC (Port Rehabilitation and Healthcare Center)
• Newburyport Wellness, LLC
• Newburyport, Ma Radiation Center LLC
• Newburyport, Ma Radiation Center, LLC

• Pediatric Dentistry in Newburyport, MA
• Providers in Newburyport, MA by specialty
• Pediatric Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.