Brockton Dental and Orthodontics PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

BROCKTON DENTAL AND ORTHODONTICS PC

Practice address

231 Main St Ste 200
Brockton, MA 02301-4342

Phone

(508) 232-6290

NPI assigned

Nov 27, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Neetu Bansal, DMD

Title

Owner

Phone

(617) 275-6306

Specialties & licenses 3

Addresses

Other names 1

• Brockton Dental AND Orthodontics PC Doing business as

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

{
    "created_epoch": "1574812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574812800000",
    "number": "1124664925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 BRIGHTON ST APT 3",
            "city": "CHARLESTOWN",
            "state": "MA",
            "postal_code": "021291260",
            "telephone_number": "617-275-6306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 MAIN ST STE 200",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023014342",
            "telephone_number": "508-232-6290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROCKTON DENTAL AND ORTHODONTICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-27",
        "last_updated": "2019-11-27",
        "status": "A",
        "authorized_official_last_name": "BANSAL",
        "authorized_official_first_name": "NEETU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-275-6306",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brockton Dental AND Orthodontics PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brockton Adult Medical Day Care Center, Inc
• Brockton Area Associaton for Retarded Citizens, Inc
• Brockton Area Multi-Services, Inc.
• Brockton Area Multi-Services, Inc.
• Brockton Cardiology Associates, PC
• Brockton Dental Group P.C.
• Brockton Dialysis Center LLC
• Brockton Family Dental Inc.
• Brockton Health Center, LLC
• Brockton Healthcare Clinic LLC

• General Practice Dentistry in Brockton, MA
• Providers in Brockton, MA by specialty
• General Practice Dentistry in Massachusetts

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