NPIMap

Organization Active NPI

Barry R Poprtnoy DMD PC

  • Dentist
  • Westborough, MA
National Provider Identifier
1104376961
Registry record updated Oct 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN12907 Issued in MA
Legal business name
BARRY R POPRTNOY DMD PC
Practice address
18 Lyman St
Suite 204
Westborough, MA 01581-1459
Phone
(508) 366-1700
Fax
(508) 366-5089
NPI assigned
Oct 5, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2016

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

Authorized official

Name
Dr. Barry R Portnoy, DMDNPI 1235358482
Title
President
Phone
(508) 366-1700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DN12907 MA Primary

Addresses

Primary practice location

18 Lyman St
Suite 204
Westborough, MA 01581-1459

Mailing address

18 Lyman St
Suite 204
Westborough, MA 01581-1459
Phone (508) 366-1700

National Provider Directory

National Provider Directory
Tax ID family
Barry R Poprtnoy DMD 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

18 Lyman St
Ste 204
Westborough, MA 01581
Phone (508) 366-1700

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": "1475625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475625600000",
    "number": "1104376961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 LYMAN ST",
            "address_2": "SUITE 204",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015811459",
            "telephone_number": "508-366-1700",
            "fax_number": "508-366-5089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 LYMAN ST",
            "address_2": "SUITE 204",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015811459",
            "telephone_number": "508-366-1700",
            "fax_number": "508-366-5089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARRY R POPRTNOY DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-05",
        "last_updated": "2016-10-05",
        "status": "A",
        "authorized_official_last_name": "PORTNOY",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-366-1700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN12907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westborough, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2016; 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.