NPIMap

Organization Active NPI

Winchester Family Dental

  • General Practice Dentistry
  • Winchester, MA
National Provider Identifier
1114340122
Registry record updated Jan 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
21366 Issued in MA
Legal business name
WINCHESTER FAMILY DENTAL
Practice address
831 Main St Ste 2
Winchester, MA 01890-1997
Phone
(617) 694-1614
NPI assigned
Jan 27, 2014
Last updated
Jan 27, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
BROADWAY DENTIST LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 27, 2014

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

Authorized official

Name
Hui HuangNPI 1760468094
Title
Owner
Phone
(617) 694-1614

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 Dentistry 1223G0001X 21366 MA Primary

Addresses

Primary practice location

831 Main St Ste 2
Winchester, MA 01890-1997

Mailing address

831 Main St Ste 2
Winchester, MA 01890-1997
Phone (617) 694-1614

Other identifiers 1

IdentifierTypeStateIssuer
0205150OtherMAMASS HEALTH ID 0205150

National Provider Directory

National Provider Directory
Tax ID family
Winchester Family Dental2 organizations share this tax ID, including this one
Part of
Winchester Family Dental

Other organizations with this tax ID 1

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

Locations

831 Main St
Ste 2
Winchester, MA 01890
Phone (617) 694-1614

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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": "1390780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390780800000",
    "number": "1114340122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "831 MAIN ST STE 2",
            "city": "WINCHESTER",
            "state": "MA",
            "postal_code": "018901997",
            "telephone_number": "617-694-1614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 MAIN ST STE 2",
            "city": "WINCHESTER",
            "state": "MA",
            "postal_code": "018901997",
            "telephone_number": "617-694-1614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINCHESTER FAMILY DENTAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BROADWAY DENTIST LLC",
        "enumeration_date": "2014-01-27",
        "last_updated": "2014-01-27",
        "status": "A",
        "authorized_official_last_name": "HUANG",
        "authorized_official_first_name": "HUI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-694-1614"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "21366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASS HEALTH ID 0205150",
            "identifier": "0205150",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2014; 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.