NPIMap

Organization Active NPI

Park Street Dental

  • Dentist
  • Westborough, MA
National Provider Identifier
1174785356
Registry record updated Jun 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
14655 Issued in MA
Legal business name
PARK STREET DENTAL
Practice address
210 Turnpike Rd
Westborough, MA 01581-2810
Phone
(508) 366-5028
NPI assigned
Jun 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2008

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

Authorized official

Name
Dr. Arnold Nadler, DDSNPI 1760462717
Title
Dentist
Phone
(508) 366-5028

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 14655 MA Primary

Addresses

Primary practice location

210 Turnpike Rd
Westborough, MA 01581-2810

Mailing address

210 Turnpike Rd
Westborough, MA 01581-2810
Phone (508) 366-5028

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": "1214524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1174785356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 TURNPIKE RD",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015812810",
            "telephone_number": "508-366-5028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 TURNPIKE RD",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015812810",
            "telephone_number": "508-366-5028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK STREET DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-27",
        "last_updated": "2008-06-27",
        "status": "A",
        "authorized_official_last_name": "NADLER",
        "authorized_official_first_name": "ARNOLD",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "508-366-5028",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MA",
            "license": "14655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westborough, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.