NPIMap

Organization Active NPI

Amesbury Family Dental LLC

  • Dental Clinic/Center
  • Amesbury, MA
National Provider Identifier
1134729833
Registry record updated Oct 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
AMESBURY FAMILY DENTAL LLC
Practice address
205A Elm St
Amesbury, MA 01913-3820
Phone
(773) 543-3747
NPI assigned
Oct 30, 2020
Last updated
Oct 30, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2020

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

Authorized official

Name
Katerina ChernykhivskaNPI 1558777433
Title
Manager
Phone
(773) 543-3747

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

205A Elm St
Amesbury, MA 01913-3820

Mailing address

5 Winthrop St
Stoneham, MA 02180-2550
Phone (773) 543-3747

National Provider Directory

National Provider Directory

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": "1604016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604016000000",
    "number": "1134729833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 WINTHROP ST",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021802550",
            "telephone_number": "773-543-3747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205A ELM ST",
            "city": "AMESBURY",
            "state": "MA",
            "postal_code": "019133820",
            "telephone_number": "773-543-3747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMESBURY FAMILY DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-30",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-30",
        "status": "A",
        "authorized_official_last_name": "CHERNYKHIVSKA",
        "authorized_official_first_name": "KATERINA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "773-543-3747"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amesbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2020; 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.