NPIMap

Organization Active NPI

Cosmetic & Family Dentistry Assoc., Inc

  • Dentist
  • Pocasset, MA
National Provider Identifier
1144472176
Registry record updated Oct 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
19530 Issued in MA
Legal business name
COSMETIC & FAMILY DENTISTRY ASSOC., INC
Practice address
580 Macarthur Blvd
Pocasset, MA 02559
Phone
(508) 564-6663
Fax
(508) 564-6610
NPI assigned
Oct 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2013

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

Authorized official

Name
Dr. Tracy Lynn Murphy, DMDNPI 1164501425
Title
Dentist
Phone
(508) 564-6663

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 19530 MA Primary

Addresses

Primary practice location

580 Macarthur Blvd
Pocasset, MA 02559

Mailing address

580 Macarthur Blvd
Buzzards Bay, MA 02532
Phone (508) 564-6663

Other identifiers 1

IdentifierTypeStateIssuer
X12074OtherMABLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

580 MacArthur Blvd
Buzzards Bay, MA 02532

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": "1224633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381708800000",
    "number": "1144472176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 MACARTHUR BLVD",
            "city": "BUZZARDS BAY",
            "state": "MA",
            "postal_code": "02532",
            "telephone_number": "508-564-6663",
            "fax_number": "508-564-6610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 MACARTHUR BLVD",
            "city": "POCASSET",
            "state": "MA",
            "postal_code": "02559",
            "telephone_number": "508-564-6663",
            "fax_number": "508-564-6610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSMETIC & FAMILY DENTISTRY ASSOC., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-22",
        "last_updated": "2013-10-14",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "508-564-6663",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MA",
            "license": "19530",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "X12074",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pocasset, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.