NPIMap

Organization Active NPI

Mass Children Healthy Smiles

  • Dental Hygienist
  • Bridgewater, MA
National Provider Identifier
1083916365
Registry record updated Nov 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
DH11340 Issued in MA
Legal business name
MASS CHILDREN HEALTHY SMILES
Practice address
19 Green Leaf Rd
Bridgewater, MA 02324-2154
Phone
(508) 979-0373
NPI assigned
Nov 18, 2010
Last updated
Nov 18, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2010

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

Authorized official

Name
Mrs. Kathleen M Luisi, R.D.H.NPI 1477867703
Title
Public Health Dental Hygienist
Phone
(617) 913-3321

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X DH11340 MA Primary
Dental Hygienist 124Q00000X DH10126 MA

Addresses

Primary practice location

19 Green Leaf Rd
Bridgewater, MA 02324-2154

Mailing address

19 Green Leaf Rd
Bridgewater, MA 02324-2154
Phone (508) 979-0373

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1290038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290038400000",
    "number": "1083916365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 GREEN LEAF RD",
            "city": "BRIDGEWATER",
            "state": "MA",
            "postal_code": "023242154",
            "telephone_number": "508-979-0373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 GREEN LEAF RD",
            "city": "BRIDGEWATER",
            "state": "MA",
            "postal_code": "023242154",
            "telephone_number": "508-979-0373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASS CHILDREN HEALTHY SMILES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-18",
        "last_updated": "2010-11-18",
        "status": "A",
        "authorized_official_last_name": "LUISI",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PUBLIC HEALTH DENTAL HYGIENIST",
        "authorized_official_telephone_number": "617-913-3321",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.D.H."
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "MA",
            "license": "DH11340",
            "primary": true
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "MA",
            "license": "DH10126",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgewater, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2010; 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.