NPIMap

Organization Active NPI

Winchendon Family Dental PC

  • Dental Clinic/Center
  • Winchendon, MA
National Provider Identifier
1154821270
Registry record updated Feb 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
WINCHENDON FAMILY DENTAL PC
Practice address
47 Pleasant St
Winchendon, MA 01475-1618
Phone
(978) 297-1050
NPI assigned
Feb 15, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2018

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

Authorized official

Name
Mohamed Elnazer, DMD
Title
Owner
Phone
(201) 920-0628

Specialties & licenses 1

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

Addresses

Primary practice location

47 Pleasant St
Winchendon, MA 01475-1618

Mailing address

70 Riverpath Dr Apt 36
Framingham, MA 01701-3994

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1518652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518652800000",
    "number": "1154821270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 RIVERPATH DR APT 36",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017013994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 PLEASANT ST",
            "city": "WINCHENDON",
            "state": "MA",
            "postal_code": "014751618",
            "telephone_number": "978-297-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINCHENDON FAMILY DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-15",
        "last_updated": "2018-02-15",
        "status": "A",
        "authorized_official_last_name": "ELNAZER",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-920-0628",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchendon, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2018; 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.