NPIMap

Organization Active NPI

Keith P. Asarkof & Associates

  • General Practice Dentistry
  • Lexington, MA
National Provider Identifier
1104977487
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
15466 Issued in MA
Legal business name
KEITH P. ASARKOF & ASSOCIATES
Practice address
10 Muzzey St
Lexington, MA 02421-5222
Phone
(781) 862-8330
Fax
(781) 863-8565
NPI assigned
Jan 15, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Teri Destefano
Title
Office Manager
Phone
(781) 862-8330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 15466 MA Primary

Addresses

Primary practice location

10 Muzzey St
Lexington, MA 02421-5222

Mailing address

10 Muzzey St
Lexington, MA 02421-5222
Phone (781) 862-8330

National Provider Directory

National Provider Directory

Locations

10 Muzzey St
Lexington, MA 02421
Phone (781) 674-2069

Practitioners & affiliated clinicians

Practitioners 9

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": "1168819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104977487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MUZZEY ST",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024215222",
            "telephone_number": "781-862-8330",
            "fax_number": "781-863-8565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MUZZEY ST",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024215222",
            "telephone_number": "781-862-8330",
            "fax_number": "781-863-8565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH P. ASARKOF & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DESTEFANO",
        "authorized_official_first_name": "TERI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "781-862-8330",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "15466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.