NPIMap

Organization Active NPI

Union St Family Dental PC

  • Dentist
  • Lynn, MA
National Provider Identifier
1164690814
Registry record updated Feb 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
20485 Issued in MA
Legal business name
UNION ST FAMILY DENTAL PC
Practice address
175 Union St
Lynn, MA 01901-1310
Phone
(781) 592-9200
Fax
(781) 592-9250
NPI assigned
Feb 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2008

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

Authorized official

Name
Julia O Faigel, DMD
Title
Owner
Phone
(781) 592-9200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 20485 MA Primary

Addresses

Primary practice location

175 Union St
Lynn, MA 01901-1310

Mailing address

175 Union St
Lynn, MA 01901-1310
Phone (781) 592-9200

Other identifiers 1

IdentifierTypeStateIssuer
0203980MedicaidMA

National Provider Directory

National Provider Directory

Locations

175 Union St
Lynn, MA 01901
Phone (781) 592-9200

Practitioners & affiliated clinicians

Practitioners 6

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": "1203033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203033600000",
    "number": "1164690814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 UNION ST",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019011310",
            "telephone_number": "781-592-9200",
            "fax_number": "781-592-9250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 UNION ST",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019011310",
            "telephone_number": "781-592-9200",
            "fax_number": "781-592-9250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNION ST FAMILY DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-15",
        "last_updated": "2008-02-15",
        "status": "A",
        "authorized_official_last_name": "FAIGEL",
        "authorized_official_first_name": "JULIA",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-592-9200",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MA",
            "license": "20485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0203980",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynn, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2008; 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.