Organization Active NPI

Greenfield Dental Associates

  • General Practice Dentistry
  • Greenfield, MA
National Provider Identifier
1083793327
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11567 Issued in MA
Legal business name
GREENFIELD DENTAL ASSOCIATES
Practice address
126 High Street
Greenfield, MA 01301-2702
Phone
(413) 774-2871
Fax
(413) 774-3016
NPI assigned
Nov 6, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Elliott R Smolensky, DMD
Title
Owner Partner
Phone
(413) 774-2871

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 15109 MA
General Practice Dentistry 1223G0001X 11567 MA Primary

Addresses

Primary practice location

126 High Street
Greenfield, MA 01301-2702

Mailing address

126 High Street
Greenfield, MA 01301-2702

Other identifiers 1

IdentifierTypeStateIssuer
9732381MedicaidMA

National Provider Directory

National Provider Directory

Locations

126 High St
Greenfield, MA 01301
Phone (413) 774-2871

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083793327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 HIGH STREET",
            "city": "GREENFIELD",
            "state": "MA",
            "postal_code": "013012702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 HIGH STREET",
            "city": "GREENFIELD",
            "state": "MA",
            "postal_code": "013012702",
            "telephone_number": "413-774-2871",
            "fax_number": "413-774-3016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENFIELD DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMOLENSKY",
        "authorized_official_first_name": "ELLIOTT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER  PARTNER",
        "authorized_official_telephone_number": "413-774-2871",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "15109",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "11567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9732381",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, MA

Sources for this page

  • 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.