NPIMap

Organization Active NPI

Nowak Family Dental LLC

  • Dental Clinic/Center
  • Melrose, MA
National Provider Identifier
1154890820
Registry record updated Feb 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
NOWAK FAMILY DENTAL LLC
Practice address
84 Myrtle St
Melrose, MA 02176-3839
Phone
(781) 662-9119
NPI assigned
Nov 25, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2019

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

Authorized official

Name
Magdalena Nowak, DDSNPI 1386999134
Title
Owner
Phone
(413) 262-0308

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

84 Myrtle St
Melrose, MA 02176-3839

Mailing address

14 Audubon Rd Apt 224
Wakefield, MA 01880-1333

National Provider Directory

National Provider Directory

Locations

84 Myrtle St
Melrose, MA 02176
Phone (781) 662-9119

Practitioners & affiliated clinicians

Practitioners 2

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": "1543104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551312000000",
    "number": "1154890820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 AUDUBON RD APT 224",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "018801333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 MYRTLE ST",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021763839",
            "telephone_number": "781-662-9119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOWAK FAMILY DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-25",
        "last_updated": "2019-02-28",
        "status": "A",
        "authorized_official_last_name": "NOWAK",
        "authorized_official_first_name": "MAGDALENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "413-262-0308",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melrose, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2019; 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.