NPIMap

Organization Active NPI

Philip J. Cabrera, D.D.S., F.R.C.D. (C), P.C.

  • Endodontics
  • Worcester, MA
National Provider Identifier
1093902504
Registry record updated Sep 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
20003 Issued in MA
Legal business name
PHILIP J. CABRERA, D.D.S., F.R.C.D. (C), P.C.
Practice address
255 Park Ave
Suite 1020
Worcester, MA 01609-1953
Phone
(508) 792-4290
Fax
(508) 792-0295
NPI assigned
Sep 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2007

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

Authorized official

Name
Dr. Philip J Cabrera, D.D.S., F.R.C.D. (C)
Title
Dr.
Phone
(508) 792-4290

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X 20003 MA Primary

Addresses

Primary practice location

255 Park Ave
Suite 1020
Worcester, MA 01609-1953

Mailing address

255 Park Ave
Suite 1020
Worcester, MA 01609-1953
Phone (508) 792-4290

National Provider Directory

National Provider Directory
Tax ID family
Philip J Cabrera DDS FRCD C PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

255 Park Ave
Ste 1020
Worcester, MA 01609
Phone (508) 792-0295

NPI Registry JSON

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

{
    "created_epoch": "1190937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190937600000",
    "number": "1093902504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 PARK AVE",
            "address_2": "SUITE 1020",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016091953",
            "telephone_number": "508-792-4290",
            "fax_number": "508-792-0295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 PARK AVE",
            "address_2": "SUITE 1020",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016091953",
            "telephone_number": "508-792-4290",
            "fax_number": "508-792-0295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP J. CABRERA, D.D.S., F.R.C.D. (C), P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-28",
        "last_updated": "2007-09-28",
        "status": "A",
        "authorized_official_last_name": "CABRERA",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "508-792-4290",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., F.R.C.D. (C)"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "MA",
            "license": "20003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2007; 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.