NPIMap

Organization Active NPI

Harvard Vanguard Medical Associates

  • Dentist
  • Auburndale, MA
National Provider Identifier
1104987783
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
HARVARD VANGUARD MEDICAL ASSOCIATES
Practice address
275 Grove St
Suite 3-300
Auburndale, MA 02466-2272
Phone
(617) 559-8051
NPI assigned
Dec 13, 2006
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
Debra Geihsler
Title
Chief Executive Officer
Phone
(617) 559-8012

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

275 Grove St
Suite 3-300
Auburndale, MA 02466-2272

Mailing address

275 Grove St
Suite 3-300
Auburndale, MA 02466-2272
Phone (617) 559-8051

National Provider Directory

National Provider Directory
Tax ID family
Atrius Healthinc67 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 17

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104987783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 GROVE ST",
            "address_2": "SUITE 3-300",
            "city": "AUBURNDALE",
            "state": "MA",
            "postal_code": "024662272",
            "telephone_number": "617-559-8051",
            "fax_number": "617-421-3487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 GROVE ST",
            "address_2": "SUITE 3-300",
            "city": "AUBURNDALE",
            "state": "MA",
            "postal_code": "024662272",
            "telephone_number": "617-559-8051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARVARD VANGUARD MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GEIHSLER",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "617-559-8012"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburndale, 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.