Nikita Anna Naumowicz, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN1859121 Issued in MA

Practice address

4 Main St
Brockton, MA 02301-4027

Phone

(508) 587-7775

Fax

(508) 256-2452

NPI assigned

Jul 23, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Brockton Family Dental Inc.

  • Dentist
  • Brockton, MA
  • NPI 1235212226
  NPD (past)

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

{
    "created_epoch": "1626998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626998400000",
    "number": "1174196471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 CRAWFORD ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021211702",
            "telephone_number": "207-216-2156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 MAIN ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023014027",
            "telephone_number": "508-587-7775",
            "fax_number": "508-256-2452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAUMOWICZ",
        "first_name": "NIKITA",
        "middle_name": "ANNA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-23",
        "last_updated": "2021-07-23",
        "certification_date": "2021-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1859121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaclyn Narkiewicz
• Jessica Naruka, NP
• Moneesha Narula-Isaac, M.D.
• National Athletic Training & Fitness Institute Inc
• Christopher J Nauman, M.D.
• Nav Chiropractic, Inc
• Nicole San Jose Navarro
• Judith Nazaire, LICENSED SOCIAL WORK
• Alyssa Ann Nazareno, M.S
• Seraphine N Ndegwa, OCC. THERAPIST

• Dentist in Brockton, MA
• Providers in Brockton, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.