Active NPI
Donald P. Prohovich, DDS, PC
- General Practice Dentistry
- North Easton, MA
National Provider Identifier
1093848533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 15891
- Legal business name
- DONALD P. PROHOVICH, DDS, PC
- Practice address
- 44 Center St
North Easton, MA 02356-1853 - Phone
- (508) 238-3313
- Fax
- (508) 238-6991
- NPI assigned
- Mar 13, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dolly Prohovich
- Title
- Office Manager
- Phone
- (508) 238-3313
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 15891 | MA | Primary |
Addresses
Primary practice location
44 Center St
North Easton, MA 02356-1853
Mailing address
PO Box 74
44 Center Street
North Easton, MA 02356-0074
Phone (508) 238-3313
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9776052 | Other | MA | BILLING MEDICAID NUMBER |
| 0265993 | Medicaid | MA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1524096000000",
"number": "1093848533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 74",
"address_2": "44 CENTER STREET",
"city": "NORTH EASTON",
"state": "MA",
"postal_code": "023560074",
"telephone_number": "508-238-3313",
"fax_number": "508-238-6991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44 CENTER ST",
"city": "NORTH EASTON",
"state": "MA",
"postal_code": "023561853",
"telephone_number": "508-238-3313",
"fax_number": "508-238-6991"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DONALD P. PROHOVICH, DDS, PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-13",
"last_updated": "2018-04-19",
"status": "A",
"authorized_official_last_name": "PROHOVICH",
"authorized_official_first_name": "DOLLY",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "508-238-3313"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "MA",
"license": "15891",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BILLING MEDICAID NUMBER",
"identifier": "9776052",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0265993",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Easton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.