Organization Active NPI

Dr. Dental of Springfield

  • General Practice Dentistry
  • Springfield, MA
National Provider Identifier
1174915474
Registry record updated Feb 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1700910007 Issued in MA
Legal business name
DR. DENTAL OF SPRINGFIELD
Practice address
1225 Liberty St
Unit 3
Springfield, MA 01104-1165
Phone
(413) 796-4700
Fax
(413) 796-4708
NPI assigned
Feb 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2015

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

Authorized official

Name
Dr. Julia Faigel
Title
Owner
Phone
(413) 796-4700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 1700910007 MA Primary

Addresses

Primary practice location

1225 Liberty St
Unit 3
Springfield, MA 01104-1165

Mailing address

1225 Liberty St
Unit 3
Springfield, MA 01104-1165

National Provider Directory

National Provider Directory

Locations

1225 Liberty St
Unit 3
Springfield, MA 01104
Phone (413) 788-0000

NPI Registry JSON

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

{
    "created_epoch": "1424649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424649600000",
    "number": "1174915474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 LIBERTY ST",
            "address_2": "UNIT 3",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011041165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 LIBERTY ST",
            "address_2": "UNIT 3",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011041165",
            "telephone_number": "413-796-4700",
            "fax_number": "413-796-4708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. DENTAL OF SPRINGFIELD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-23",
        "last_updated": "2015-02-23",
        "status": "A",
        "authorized_official_last_name": "FAIGEL",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "413-796-4700",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "1700910007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2015; 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.