NPIMap

Organization Active NPI

Myorthos Massachusetts Orthodontics. P.C.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Hanover, MA
National Provider Identifier
1104593722
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
MYORTHOS MASSACHUSETTS ORTHODONTICS. P.C.
Practice address
247 Hanover St
Hanover, MA 02339-2208
Phone
(781) 826-3900
NPI assigned
Aug 23, 2021
Organization subpart
Yes
Parent organization
MYORTHOS MASSACHUSETTS ORTHODONTICS, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Authorized official

Name
Casey Lonabocker
Title
VP Operations & Strategy
Phone
(617) 535-3364

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

247 Hanover St
Hanover, MA 02339-2208

Mailing address

131 Dartmouth St
Boston, MA 02116-5297

Other practice location 1

1121 Main St Ste 1
South Weymouth, MA 02190-1567
Phone (781) 337-1355

Other practice location 2

223 Chief Justice Cushing Hwy Ste Ll1
Cohasset, MA 02025-1391
Phone (781) 236-3892

National Provider Directory

National Provider Directory
Tax ID family
Myorthos Massachusetts Orthodontics PC4 organizations share this tax ID, including this one
Part of
Myorthos Massachusetts Orthodontics PC

Other organizations with this tax ID 3

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

Locations

131 Dartmouth St
Boston, MA 02116

223 Chief Justice Cushing Hwy
Ste LL1
Cohasset, MA 02025
Phone (781) 236-3892

247 Hanover St
Hanover, MA 02339
Phone (781) 826-3900

1121 Main St
Ste 1
South Weymouth, MA 02190
Phone (781) 337-1355

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1629676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732060800000",
    "number": "1104593722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 DARTMOUTH ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021165297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 HANOVER ST",
            "city": "HANOVER",
            "state": "MA",
            "postal_code": "023392208",
            "telephone_number": "781-826-3900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1121 Main St Ste 1",
            "address_purpose": "LOCATION",
            "city": "South Weymouth",
            "state": "MA",
            "postal_code": "021901567",
            "country_code": "US",
            "telephone_number": "781-337-1355",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "223 Chief Justice Cushing Hwy Ste Ll1",
            "address_purpose": "LOCATION",
            "city": "Cohasset",
            "state": "MA",
            "postal_code": "020251391",
            "country_code": "US",
            "telephone_number": "781-236-3892",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MYORTHOS MASSACHUSETTS ORTHODONTICS. P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MYORTHOS MASSACHUSETTS ORTHODONTICS, P.C.",
        "enumeration_date": "2021-08-23",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A",
        "authorized_official_last_name": "LONABOCKER",
        "authorized_official_first_name": "CASEY",
        "authorized_official_title_or_position": "VP OPERATIONS & STRATEGY",
        "authorized_official_telephone_number": "617-535-3364"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanover, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; 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.