NPIMap

Organization Active NPI

Great Hill Dental Partners, LLC

  • Dentist
  • Somerville, MA
National Provider Identifier
1154608081
Registry record updated May 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
GREAT HILL DENTAL PARTNERS, LLC
Practice address
20 Holland St Ste 400
Somerville, MA 02144-2749
Phone
(617) 629-6080
NPI assigned
Nov 7, 2011
Last updated
May 21, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
GREAT HILL DENTAL PARTNERS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 21, 2021

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

Authorized official

Name
Dr. Michael Angelo Scialabba, DDS
Title
Chief Clinical Officer
Phone
(561) 512-2709

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X Primary

Addresses

Primary practice location

20 Holland St Ste 400
Somerville, MA 02144-2749

Mailing address

200 5TH Ave FL 3
Waltham, MA 02451-8759
Phone (781) 790-0506

National Provider Directory

National Provider Directory
Tax ID family
Great Hill Dental Partners LLC5 organizations share this tax ID, including this one
Part of
Great Hill Dental Partners LLC

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

20 Holland St
Ste 400
Somerville, MA 02144
Phone (617) 326-8627

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1320624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621555200000",
    "number": "1154608081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 5TH AVE FL 3",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024518759",
            "telephone_number": "781-790-0506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 HOLLAND ST STE 400",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021442749",
            "telephone_number": "617-629-6080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT HILL DENTAL PARTNERS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GREAT HILL DENTAL PARTNERS, LLC",
        "enumeration_date": "2011-11-07",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-21",
        "status": "A",
        "authorized_official_last_name": "SCIALABBA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ANGELO",
        "authorized_official_title_or_position": "CHIEF CLINICAL OFFICER",
        "authorized_official_telephone_number": "561-512-2709",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerville, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; 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.