NPIMap

Organization Active NPI

Mina Dental Associates of Danvers

  • General Practice Dentistry
  • Danvers, MA
National Provider Identifier
1093046096
Registry record updated Sep 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN20439 Issued in MA
Legal business name
MINA DENTAL ASSOCIATES OF DANVERS
Practice address
2 Orchard LN
Suite 4
Danvers, MA 01923
Phone
(978) 777-5556
Fax
(978) 777-5566
NPI assigned
Jan 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2015

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

Authorized official

Name
Dr. Michael Sarraf, D.M.D.
Title
President
Phone
(978) 777-5556

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X DN20439 MA Primary

Addresses

Primary practice location

2 Orchard LN
Suite 4
Danvers, MA 01923

Mailing address

2 Orchard LN
Suite D
Danvers, MA 01923-3425
Phone (978) 777-5556

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1263513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443484800000",
    "number": "1093046096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 ORCHARD LN",
            "address_2": "SUITE D",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019233425",
            "telephone_number": "978-777-5556",
            "fax_number": "978-777-5566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 ORCHARD LN",
            "address_2": "SUITE 4",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "01923",
            "telephone_number": "978-777-5556",
            "fax_number": "978-777-5566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINA DENTAL ASSOCIATES OF DANVERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-15",
        "last_updated": "2015-09-29",
        "status": "A",
        "authorized_official_last_name": "SARRAF",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-777-5556",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN20439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danvers, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.