NPIMap

Organization Active NPI

Children'S Dentistry of Chicopee

  • Dentist
  • Chicopee, MA
National Provider Identifier
1114354784
Registry record updated Jan 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
CHILDREN'S DENTISTRY OF CHICOPEE
Practice address
21 Bay State Rd
Chicopee, MA 01020
Phone
(617) 818-6959
NPI assigned
Sep 27, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2015

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

Authorized official

Name
Santhosh Veeranna, DDS
Title
Owner
Phone
(617) 818-6959

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

21 Bay State Rd
Chicopee, MA 01020

Mailing address

21 Bay State Rd
Chicopee, MA 01020
Phone (617) 818-6959

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1380240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422403200000",
    "number": "1114354784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 BAY STATE RD",
            "city": "CHICOPEE",
            "state": "MA",
            "postal_code": "01020",
            "telephone_number": "617-818-6959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 BAY STATE RD",
            "city": "CHICOPEE",
            "state": "MA",
            "postal_code": "01020",
            "telephone_number": "617-818-6959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S DENTISTRY OF CHICOPEE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-27",
        "last_updated": "2015-01-28",
        "status": "A",
        "authorized_official_last_name": "VEERANNA",
        "authorized_official_first_name": "SANTHOSH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-818-6959",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicopee, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2015; 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.