NPIMap

Organization Active NPI

Sugarbug Dental Suite, PC

  • Pediatric Dentistry
  • Chelmsford, MA
National Provider Identifier
1114358363
Registry record updated Dec 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DN19107 Issued in MA
Legal business name
SUGARBUG DENTAL SUITE, PC
Practice address
1 Courthouse LN
#14
Chelmsford, MA 01824-1738
Phone
(978) 458-2616
NPI assigned
Dec 12, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2013

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

Authorized official

Name
Dr. Geraldine C Garcia-Rogers, DMD
Title
President
Phone
(978) 697-7669

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X DN19107 MA Primary

Addresses

Primary practice location

1 Courthouse LN
#14
Chelmsford, MA 01824-1738

Mailing address

1 Courthouse LN
#14
Chelmsford, MA 01824-1738
Phone (978) 458-2616

National Provider Directory

National Provider Directory

Locations

1 Courthouse Ln
Ste 14
Chelmsford, MA 01824
Phone (978) 458-2616

Practitioners & affiliated clinicians

Practitioners 1

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": "1386806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386806400000",
    "number": "1114358363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 COURTHOUSE LN",
            "address_2": "#14",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018241738",
            "telephone_number": "978-458-2616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 COURTHOUSE LN",
            "address_2": "#14",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018241738",
            "telephone_number": "978-458-2616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUGARBUG DENTAL SUITE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-12",
        "last_updated": "2013-12-12",
        "status": "A",
        "authorized_official_last_name": "GARCIA-ROGERS",
        "authorized_official_first_name": "GERALDINE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-697-7669",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MA",
            "license": "DN19107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chelmsford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2013; 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.