Organization Active NPI

Concord Dental Care, P.C.

  • Dental Clinic/Center
  • Concord, MA
National Provider Identifier
1164944971
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
CONCORD DENTAL CARE, P.C.
Practice address
290 Baker Ave Ste 201
Concord, MA 01742-2189
Phone
(978) 369-4808
NPI assigned
Jul 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Inna Amirian
Title
Dentist/Owner
Phone
(978) 369-4808

Specialties & licenses 1

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

Addresses

Primary practice location

290 Baker Ave Ste 201
Concord, MA 01742-2189

Mailing address

290 Baker Ave Ste 201
Concord, MA 01742-2189

National Provider Directory

National Provider Directory

Locations

290 Baker Ave
Ste 201
Concord, MA 01742
Phone (978) 369-4808

NPI Registry JSON

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

{
    "created_epoch": "1499904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1164944971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 BAKER AVE STE 201",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017422189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 BAKER AVE STE 201",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017422189",
            "telephone_number": "978-369-4808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCORD DENTAL CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-13",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "AMIRIAN",
        "authorized_official_first_name": "INNA",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "978-369-4808"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.