Individual provider Active NPI

Catalina Osses Albornoz, DDS

  • General Practice Dentistry
  • Lowell, MA
National Provider Identifier
1164007811
Registry record updated Oct 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN1860010 Issued in MA
Practice address
1201 Bridge St
Lowell, MA 01850-1293
Phone
(978) 455-7056
NPI assigned
Mar 15, 2021
Last updated
Oct 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN1860010 MA Primary
Student in an Organized Health Care Education/Training Program 390200000X 13107 CT

Addresses

Primary practice location

1201 Bridge St
Lowell, MA 01850-1293

Mailing address

65 High St Apt 110
North Andover, MA 01845-2637
Phone (860) 328-6858

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN1860010MAMDGeneral Practice Dentistry
13107CTMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Lowell Dentistry and Braces, PC CurrentSince Oct 22, 2023 Accepting new patients

Locations

1201 Bridge St
Lowell, MA 01850
Phone (978) 455-7056

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1615766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697760000000",
    "number": "1164007811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 HIGH ST APT 110",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018452637",
            "telephone_number": "860-328-6858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 BRIDGE ST",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018501293",
            "telephone_number": "978-455-7056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSSES ALBORNOZ",
        "first_name": "CATALINA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-15",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1860010",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CT",
            "license": "13107",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowell, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2023; 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.