Organization Active NPI

Orange Family Dental LLC

Doing business as West River Dental

  • Dental Clinic/Center
  • Orange, MA
National Provider Identifier
1184128191
Registry record updated Mar 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ORANGE FAMILY DENTAL LLC
Doing business as
West River Dental
Practice address
450 W River St Ste 2
Orange, MA 01364-1440
Phone
(978) 544-2922
Fax
(978) 544-2922
NPI assigned
Mar 23, 2018
Last updated
Mar 23, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2018

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

Authorized official

Name
Susan Giaimo
Title
District Manager
Phone
(617) 291-2773

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

450 W River St Ste 2
Orange, MA 01364-1440

Mailing address

1 Militia Dr Ste 203
Lexington, MA 02421-4703
Phone (781) 862-5958

Other names 1

  • West River Dental Doing business as

National Provider Directory

National Provider Directory

Locations

1 Militia Dr
Ste 203
Lexington, MA 02421

NPI Registry JSON

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

{
    "created_epoch": "1521763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521763200000",
    "number": "1184128191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MILITIA DR STE 203",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024214703",
            "telephone_number": "781-862-5958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 W RIVER ST STE 2",
            "city": "ORANGE",
            "state": "MA",
            "postal_code": "013641440",
            "telephone_number": "978-544-2922",
            "fax_number": "978-544-2922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORANGE FAMILY DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-23",
        "last_updated": "2018-03-23",
        "status": "A",
        "authorized_official_last_name": "GIAIMO",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "DISTRICT MANAGER",
        "authorized_official_telephone_number": "617-291-2773"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West River Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "West River Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orange, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2018; 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.