Individual provider Active NPI

Morgane Chloe Amat, DMD

  • Pediatric Dentistry
  • Lynn, MA
National Provider Identifier
1104487743
Registry record updated Jul 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DN1858986 Issued in MA
Practice address
77 Broad St
Lynn, MA 01902-5003
Phone
(781) 599-2900
NPI assigned
Jun 25, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X DN1858986 MA Primary

Addresses

Primary practice location

77 Broad St
Lynn, MA 01902-5003

Mailing address

77 Broad St
Lynn, MA 01902-5003
Phone (781) 599-2900

Other practice location 1

100 Amesbury St Ste 111
Lawrence, MA 01840-1321
Phone (978) 682-3342

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN1858986MAMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
DRS. Perlman & Koidin, P.C. Pediatric Dentistry PastSince Apr 11, 2021 Accepting new patients
Maritza Morell DMD PC Pediatric Dentistry Past Accepting new patients
Lynn Pediatric Dentistry and Orthodontics, LLC Pediatric Dentistry PastSince Apr 11, 2021 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1561420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1104487743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 BROAD ST",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019025003",
            "telephone_number": "781-599-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 BROAD ST",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019025003",
            "telephone_number": "781-599-2900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Amesbury St Ste 111",
            "address_purpose": "LOCATION",
            "city": "Lawrence",
            "state": "MA",
            "postal_code": "018401321",
            "country_code": "US",
            "telephone_number": "978-682-3342",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMAT",
        "first_name": "MORGANE",
        "middle_name": "CHLOE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-25",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MA",
            "license": "DN1858986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynn, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; 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.