Organization Active NPI

Kiefer Periodontics and Dental Implants PC

  • Periodontics
  • Norwood, MA
National Provider Identifier
1144600651
Registry record updated Jun 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
DN22026 Issued in MA
Legal business name
KIEFER PERIODONTICS AND DENTAL IMPLANTS PC
Practice address
89 Access Rd
Suite 30
Norwood, MA 02062-5229
Phone
(781) 551-8787
Fax
(781) 551-0438
NPI assigned
Jun 1, 2015
Last updated
Jun 1, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2015

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

Authorized official

Name
Dr. Stephanie P. Kiefer, D.M.D.
Title
President
Phone
(781) 551-8787

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X DN22026 MA Primary

Addresses

Primary practice location

89 Access Rd
Suite 30
Norwood, MA 02062-5229

Mailing address

89 Access Rd
Suite 30
Norwood, MA 02062-5229
Phone (781) 551-8787

National Provider Directory

National Provider Directory

Locations

89 Access Rd
Ste 30
Norwood, MA 02062
Phone (781) 551-8787

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": "1433116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433116800000",
    "number": "1144600651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 ACCESS RD",
            "address_2": "SUITE 30",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020625229",
            "telephone_number": "781-551-8787",
            "fax_number": "781-551-0438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 ACCESS RD",
            "address_2": "SUITE 30",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020625229",
            "telephone_number": "781-551-8787",
            "fax_number": "781-551-0438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIEFER PERIODONTICS AND DENTAL IMPLANTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-01",
        "last_updated": "2015-06-01",
        "status": "A",
        "authorized_official_last_name": "KIEFER",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-551-8787",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "MA",
            "license": "DN22026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwood, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2015; 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.