NPIMap

Organization Active NPI

Mark Pernokas, DMD

  • Dentist
  • Woburn, MA
National Provider Identifier
1174985667
Registry record updated Mar 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
MARK PERNOKAS, DMD
Practice address
8 Cedar St
Suite 65
Woburn, MA 01801-7246
Phone
(781) 937-3050
Fax
(781) 937-6088
NPI assigned
Mar 23, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2016

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

Authorized official

Name
Mrs. Julie A Pernokas
Title
Office Manager
Phone
(781) 937-3050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

8 Cedar St
Suite 65
Woburn, MA 01801-7246

Mailing address

8 Cedar St
Suite 65
Woburn, MA 01801-7246
Phone (781) 937-3050

Other names 1

  • ADVANCED DENTAL ASSOCIATES OF NEW ENGLAND Other name

National Provider Directory

National Provider Directory

Locations

8 Cedar St
Ste 65
Woburn, MA 01801
Phone (781) 937-3050

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": "1458691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458691200000",
    "number": "1174985667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 CEDAR ST",
            "address_2": "SUITE 65",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018017246",
            "telephone_number": "781-937-3050",
            "fax_number": "781-937-6088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 CEDAR ST",
            "address_2": "SUITE 65",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018017246",
            "telephone_number": "781-937-3050",
            "fax_number": "781-937-6088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK PERNOKAS, DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-23",
        "last_updated": "2016-03-23",
        "status": "A",
        "authorized_official_last_name": "PERNOKAS",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "781-937-3050",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADVANCED DENTAL ASSOCIATES OF NEW ENGLAND",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Woburn, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2016; 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.