Organization Active NPI

Dennis J Ahern DDS PC

  • General Practice Dentistry
  • Marlborough, MA
National Provider Identifier
1174705792
Registry record updated Dec 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DENNIS J AHERN DDS PC
Practice address
222 Bolton Street
Marlborough, MA 01752
Phone
(508) 485-1800
Fax
(508) 485-1808
NPI assigned
Dec 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2007

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

Authorized official

Name
Dr. Dennis Joseph Ahern, DDSNPI 1811108863
Title
President
Phone
(508) 485-1800

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X MA Primary

Addresses

Primary practice location

222 Bolton Street
Marlborough, MA 01752

Mailing address

222 Bolton Street
Marlborough, MA 01752
Phone (508) 485-1800

Other identifiers 1

IdentifierTypeStateIssuer
X12309OtherBLUE CROSS BLUE SHIELD IN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1196812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196812800000",
    "number": "1174705792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 BOLTON STREET",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "01752",
            "telephone_number": "508-485-1800",
            "fax_number": "508-485-1808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 BOLTON STREET",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "01752",
            "telephone_number": "508-485-1800",
            "fax_number": "508-485-1808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENNIS J AHERN DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-05",
        "last_updated": "2007-12-05",
        "status": "A",
        "authorized_official_last_name": "AHERN",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-485-1800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD IN",
            "identifier": "X12309",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlborough, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; 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.