Dartmouth Primary Medicine, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

220351 Issued in MA

Legal business name

DARTMOUTH PRIMARY MEDICINE, LLC

Practice address

651 Orchard St
Suite 202 a
New Bedford, MA 02744-1008

Phone

(508) 994-5300

Fax

(508) 994-4225

NPI assigned

Dec 15, 2006

Organization subpart

No

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

Authorized official

Name

John George, MD

Title

Owner

Phone

(508) 971-9737

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436227200000",
    "number": "1083776728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 ORCHARD ST",
            "address_2": "SUITE 202 A",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027441008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 ORCHARD ST",
            "address_2": "SUITE 202 A",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027441008",
            "telephone_number": "508-994-5300",
            "fax_number": "508-994-4225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARTMOUTH PRIMARY MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2015-07-07",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-971-9737",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MA",
            "license": "220351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110076216A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joanne Susan Dakin, M.A.
• Sylvia Rosalie Daley, LADCI, RN, CADACII
• Ronna Dallal, L.I.C.S.W.
• Nathan M Damico
• Daniel Hooberman, MD, LLC
• Betty Ann Dasher
• Katrina L Dasilva-Los, COTA
• Jacob Steven Dasilva
• Kayla Dasilva
• Nicole Dasilva, LICSW

• Primary Care Clinic/Center in New Bedford, MA
• Providers in New Bedford, MA by specialty
• Primary Care Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2015; 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.