Organization Active NPI

Sturbridge Orthodontics, P.C.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Sturbridge, MA
National Provider Identifier
1174778971
Registry record updated Nov 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
19945 Issued in MA
Legal business name
STURBRIDGE ORTHODONTICS, P.C.
Practice address
54 Main St
Sturbridge, MA 01566-1281
Phone
(508) 347-7540
NPI assigned
Nov 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2008

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

Authorized official

Name
Ferdinand Cesar Sabelis, D.M.D
Title
Orthodontist
Phone
(508) 347-7540

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 19945 MA Primary

Addresses

Primary practice location

54 Main St
Sturbridge, MA 01566-1281

Mailing address

54 Main St
Sturbridge, MA 01566-1281
Phone (508) 347-7540

National Provider Directory

National Provider Directory

Locations

54 Main St
Sturbridge, MA 01566
Phone (508) 347-3818

NPI Registry JSON

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

{
    "created_epoch": "1227139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227139200000",
    "number": "1174778971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 MAIN ST",
            "city": "STURBRIDGE",
            "state": "MA",
            "postal_code": "015661281",
            "telephone_number": "508-347-7540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 MAIN ST",
            "city": "STURBRIDGE",
            "state": "MA",
            "postal_code": "015661281",
            "telephone_number": "508-347-7540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STURBRIDGE ORTHODONTICS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-20",
        "last_updated": "2008-11-20",
        "status": "A",
        "authorized_official_last_name": "SABELIS",
        "authorized_official_first_name": "FERDINAND",
        "authorized_official_middle_name": "CESAR",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "508-347-7540",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MA",
            "license": "19945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sturbridge, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.