NPIMap

Organization Active NPI

Davis Square Dental Specialists LLC

  • General Practice Dentistry
  • Lowell, MA
National Provider Identifier
1124664537
Registry record updated Nov 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DAVIS SQUARE DENTAL SPECIALISTS LLC
Practice address
710 Chelmsford St
Lowell, MA 01851-5101
Phone
(978) 454-0774
NPI assigned
Nov 20, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2019

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

Authorized official

Name
Mrs. Juliana Masiello
Title
Corporate Manager
Phone
(617) 591-9999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

710 Chelmsford St
Lowell, MA 01851-5101

Mailing address

30 College Ave
Somerville, MA 02144-1914
Phone (617) 591-9999

Other names 1

  • T Station Dental of Lowell Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address juliana@bracesplaces.com

National Provider Directory

National Provider Directory
Tax ID family
Davis Square Dental Group6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

710 Chelmsford St
Lowell, MA 01851
Phone (978) 454-0774

NPI Registry JSON

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

{
    "created_epoch": "1574208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574208000000",
    "number": "1124664537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 COLLEGE AVE",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021441914",
            "telephone_number": "617-591-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 CHELMSFORD ST",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018515101",
            "telephone_number": "978-454-0774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIS SQUARE DENTAL SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-20",
        "last_updated": "2019-11-20",
        "status": "A",
        "authorized_official_last_name": "MASIELLO",
        "authorized_official_first_name": "JULIANA",
        "authorized_official_title_or_position": "CORPORATE MANAGER",
        "authorized_official_telephone_number": "617-591-9999",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "juliana@bracesplaces.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "710 Chelmsford St",
            "city": "Lowell",
            "state": "MA",
            "country_code": "US",
            "postal_code": "018515101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "T Station Dental of Lowell",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lowell, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2019; 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.