New Era Dental

Primary specialty

DentistTaxonomy code 122300000X

License

19257 Issued in MA

Legal business name

NEW ERA DENTAL

Practice address

2400 Massachusetts Ave
1170 Beacon St
Cambridge, MA 02140

Phone

(617) 576-6566

Fax

(617) 576-3005

NPI assigned

May 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Sandhya Goli, DMD

Title

Office Owner General Dentist

Phone

(617) 576-6566

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Progressive Dentistry Other name

Locations

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218153600000",
    "number": "1154536621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 MASSACHUSETTS AVE",
            "address_2": "1170 BEACON ST SUITE 110 BROOKLINE MA 02446",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021401854",
            "telephone_number": "617-576-6566",
            "fax_number": "617-576-3005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 MASSACHUSETTS AVE",
            "address_2": "1170 BEACON ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "02140",
            "telephone_number": "617-576-6566",
            "fax_number": "617-576-3005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW ERA DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2008-08-08",
        "status": "A",
        "authorized_official_last_name": "GOLI",
        "authorized_official_first_name": "SANDHYA",
        "authorized_official_title_or_position": "OFFICE OWNER GENERAL DENTIST",
        "authorized_official_telephone_number": "617-576-6566",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MA",
            "license": "19257",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MA",
            "license": "21256",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR GOLI",
            "identifier": "1871501007",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. GOHAR",
            "identifier": "1396869582",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Progressive Dentistry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Dentist in Cambridge, MA
• Providers in Cambridge, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2008; 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.