Organization Active NPI

Donald P. Prohovich, DDS, PC

  • General Practice Dentistry
  • North Easton, MA
National Provider Identifier
1093848533
Registry record updated Apr 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
15891 Issued in MA
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

Updated by the provider on Apr 19, 2018

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
9776052OtherMABILLING MEDICAID NUMBER
0265993MedicaidMA

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.