NPIMap

Organization Active NPI

Park Dental Group

  • General Practice Dentistry
  • Stoughton, MA
National Provider Identifier
1114249778
Registry record updated Feb 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
PARK DENTAL GROUP
Practice address
480 Park St
Stoughton, MA 02072-3085
Phone
(781) 344-5211
Fax
(781) 297-2049
NPI assigned
Feb 24, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2010

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

Authorized official

Name
Dr. Stephen E RecuperoNPI 1487642435
Title
Dentist DDS
Phone
(781) 344-5211

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

480 Park St
Stoughton, MA 02072-3085

Mailing address

480 Park St
P.O. Box 360
Stoughton, MA 02072-3085
Phone (781) 344-5211

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1266969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266969600000",
    "number": "1114249778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 PARK ST",
            "address_2": "P.O. BOX 360",
            "city": "STOUGHTON",
            "state": "MA",
            "postal_code": "020723085",
            "telephone_number": "781-344-5211",
            "fax_number": "781-297-2049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 PARK ST",
            "city": "STOUGHTON",
            "state": "MA",
            "postal_code": "020723085",
            "telephone_number": "781-344-5211",
            "fax_number": "781-297-2049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-24",
        "last_updated": "2010-02-24",
        "status": "A",
        "authorized_official_last_name": "RECUPERO",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DENTIST DDS",
        "authorized_official_telephone_number": "781-344-5211",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stoughton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2010; 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.