West Boylston Dental PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

WEST BOYLSTON DENTAL PC

Practice address

71 Central St
West Boylston, MA 01583-1689

Phone

(508) 835-3146

NPI assigned

May 29, 2019

Last updated

May 29, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Felipe Avery -Miranda, DDS

Title

Owner

Phone

(617) 669-9664

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Steven Casey, D.M.D.

  • General Practice Dentistry
  • West Boylston, MA
  • NPI 1073630398
  NPD (past)

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

{
    "created_epoch": "1559088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559088000000",
    "number": "1184282832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 CENTRAL ST",
            "city": "WEST BOYLSTON",
            "state": "MA",
            "postal_code": "015831689",
            "telephone_number": "508-835-3146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 CENTRAL ST",
            "city": "WEST BOYLSTON",
            "state": "MA",
            "postal_code": "015831689",
            "telephone_number": "508-835-3146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST BOYLSTON DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-29",
        "last_updated": "2019-05-29",
        "status": "A",
        "authorized_official_last_name": "AVERY -MIRANDA",
        "authorized_official_first_name": "FELIPE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-669-9664",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-2267)
• Samuel Wanjiru
• Ashley Warhol, PSY.D.
• Jessica Lee Weagle, MASSAGE THERAPIST
• Tracy Manion Weldon, RDH, PHDH
• West Boylston Nursing Home Inc (Oakdale Rehabilitation and Skilled Nursing Center)
• Lawanda Whitaker-Ross, LICSW
• Ariel Wilson
• Hongbin Xu, OD
• Scotlyn Yeates, PMHNP-BC, FNP-BC

• General Practice Dentistry in West Boylston, MA
• Providers in West Boylston, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2019; 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.