NPIMap

Organization Active NPI

Trustees of Tufts University

  • Dental Clinic/Center
  • Worcester, MA
National Provider Identifier
1104040757
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
20040 Issued in MA
Legal business name
TRUSTEES OF TUFTS UNIVERSITY
Practice address
150 Goddard Memorial Dr Ste 2
Worcester, MA 01603-1260
Phone
(508) 751-6746
Fax
(508) 756-3405
NPI assigned
Apr 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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

Authorized official

Name
Dr. John Patrick Morgan Jr.
Title
Administrative Director
Phone
(781) 899-6020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 20040 MA Primary

Addresses

Primary practice location

150 Goddard Memorial Dr Ste 2
Worcester, MA 01603-1260

Mailing address

150 Goddard Memorial Dr Ste 2
Worcester, MA 01603-1260
Phone (508) 751-6746

Other identifiers 1

IdentifierTypeStateIssuer
0272213OtherMAMASSHEALTH PROVIDER NUMBE

Other names 1

  • Tufts Dental Facility Glavin Other name

National Provider Directory

National Provider Directory
Tax ID family
Tufts University Lab23 organizations share this tax ID, including this one

Other organizations with this tax ID 22

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

View all 22

Locations

150 Goddard Memorial Dr
Ste 2
Worcester, MA 01603
Phone (508) 751-6746

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745884800000",
    "number": "1104040757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 GODDARD MEMORIAL DR STE 2",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016031260",
            "telephone_number": "508-751-6746",
            "fax_number": "508-756-3405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 GODDARD MEMORIAL DR STE 2",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016031260",
            "telephone_number": "508-751-6746",
            "fax_number": "508-756-3405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUSTEES OF TUFTS UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "781-899-6020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MA",
            "license": "20040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSHEALTH PROVIDER NUMBE",
            "identifier": "0272213",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tufts Dental Facility Glavin",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Apr 29, 2025; 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.