Organization Active NPI

Zervas Dentistry PLLC

  • Dental Clinic/Center
  • Greenfield, MA
National Provider Identifier
1164198305
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ZERVAS DENTISTRY PLLC
Practice address
55 Federal St Ste 240
Greenfield, MA 01301-2549
Phone
(413) 772-0884
Fax
(413) 773-7234
NPI assigned
Aug 18, 2021
Last updated
Aug 18, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2021

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

Authorized official

Name
Theodore Zervas, DMDNPI 1093821159
Title
Member
Phone
(860) 834-1319

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

55 Federal St Ste 240
Greenfield, MA 01301-2549

Mailing address

55 Federal St Ste 240
Greenfield, MA 01301-2549
Phone (413) 772-0884

Other identifiers 1

IdentifierTypeStateIssuer
1093821159OtherPROVIDER NPI

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL office@zervasdentistry.com Other

National Provider Directory

National Provider Directory

Locations

55 Federal St
Ste 240
Greenfield, MA 01301
Phone (413) 772-0884

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1629244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629244800000",
    "number": "1164198305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 FEDERAL ST STE 240",
            "city": "GREENFIELD",
            "state": "MA",
            "postal_code": "013012549",
            "telephone_number": "413-772-0884",
            "fax_number": "413-773-7234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 FEDERAL ST STE 240",
            "city": "GREENFIELD",
            "state": "MA",
            "postal_code": "013012549",
            "telephone_number": "413-772-0884",
            "fax_number": "413-773-7234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZERVAS DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-18",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A",
        "authorized_official_last_name": "ZERVAS",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "860-834-1319",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NPI",
            "identifier": "1093821159",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "office@zervasdentistry.com",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "email",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "secure email",
            "address_1": "55 Federal St Ste 240",
            "city": "Greenfield",
            "state": "MA",
            "country_code": "US",
            "postal_code": "013012549",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.