Organization Active NPI

Dr Christa's Groovy Molars Pediatric Dentistry PLLC

  • Pediatric Dentistry
  • North Attleboro, MA
National Provider Identifier
1184294704
Registry record updated Jun 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
DR CHRISTA'S GROOVY MOLARS PEDIATRIC DENTISTRY PLLC
Practice address
1 Robert Toner Blvd
North Attleboro, MA 02763-1143
Phone
(401) 499-5815
NPI assigned
Jun 26, 2021
Last updated
Jun 26, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2021

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

Authorized official

Name
Dr. Christa Rodenas, DDSNPI 1245631035
Title
Manager
Phone
(401) 499-5815

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
Pediatric Dentistry 1223P0221X NU Primary

Addresses

Primary practice location

1 Robert Toner Blvd
North Attleboro, MA 02763-1143

Mailing address

9 Karen Ann Dr
Smithfield, RI 02917-2312
Phone (401) 499-5815

National Provider Directory

National Provider Directory

Locations

1 Robert Toner Blvd
North Attleboro, MA 02763
Phone (401) 499-5815

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1624665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624665600000",
    "number": "1184294704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 KAREN ANN DR",
            "city": "SMITHFIELD",
            "state": "RI",
            "postal_code": "029172312",
            "telephone_number": "401-499-5815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ROBERT TONER BLVD",
            "city": "NORTH ATTLEBORO",
            "state": "MA",
            "postal_code": "027631143",
            "telephone_number": "401-499-5815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR CHRISTA'S GROOVY MOLARS PEDIATRIC DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-26",
        "last_updated": "2021-06-26",
        "certification_date": "2021-06-26",
        "status": "A",
        "authorized_official_last_name": "RODENAS",
        "authorized_official_first_name": "CHRISTA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "401-499-5815",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Attleboro, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2021; 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.