Organization Active NPI

Richard L Pickett DMD PC

  • General Practice Dentistry
  • Wellesley, MA
National Provider Identifier
1114048337
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11161 Issued in MA
Legal business name
RICHARD L PICKETT DMD PC
Practice address
486 Washington Street
Wellesley, MA 02482
Phone
(781) 235-6300
Fax
(781) 237-6522
NPI assigned
Apr 3, 2007
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
Dr. Richard L Pickett, DMD
Title
Owner
Phone
(781) 235-6300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 11161 MA Primary

Addresses

Primary practice location

486 Washington Street
Wellesley, MA 02482

Mailing address

486 Washington Street
Wellesley, MA 02482
Phone (781) 235-6300

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114048337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "486 WASHINGTON STREET",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "02482",
            "telephone_number": "781-235-6300",
            "fax_number": "781-237-6522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "486 WASHINGTON STREET",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "02482",
            "telephone_number": "781-235-6300",
            "fax_number": "781-237-6522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD L PICKETT DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PICKETT",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-235-6300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "11161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellesley, 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.