NPIMap

Organization Active NPI

Kevin P. Mischley, DMD

  • General Practice Dentistry
  • Walpole, MA
National Provider Identifier
1093128506
Registry record updated Jun 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN19842 Issued in MA
Legal business name
KEVIN P. MISCHLEY, DMD
Practice address
1329 Main St
Walpole, MA 02081-1707
Phone
(508) 668-3970
NPI assigned
Jun 3, 2014
Last updated
Jun 3, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2014

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

Authorized official

Name
Dr. Kevin P. Mischley, D.M.D.NPI 1295830677
Title
Owner
Phone
(508) 668-3970

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN19842 MA Primary

Addresses

Primary practice location

1329 Main St
Walpole, MA 02081-1707

Mailing address

1329 Main St
Walpole, MA 02081-1707
Phone (508) 668-3970

National Provider Directory

National Provider Directory

Locations

1329 Main St
Walpole, MA 02081
Phone (508) 668-3970

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1401753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401753600000",
    "number": "1093128506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1329 MAIN ST",
            "city": "WALPOLE",
            "state": "MA",
            "postal_code": "020811707",
            "telephone_number": "508-668-3970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1329 MAIN ST",
            "city": "WALPOLE",
            "state": "MA",
            "postal_code": "020811707",
            "telephone_number": "508-668-3970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN P. MISCHLEY, DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-03",
        "last_updated": "2014-06-03",
        "status": "A",
        "authorized_official_last_name": "MISCHLEY",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-668-3970",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN19842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walpole, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2014; 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.