Organization Active NPI

Hopkinton Dental Associates, P.C.

  • Dental Clinic/Center
  • Hopkinton, MA
National Provider Identifier
1184835365
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
20976 Issued in MA
Legal business name
HOPKINTON DENTAL ASSOCIATES, P.C.
Practice address
77 W Main St
Suite 210
Hopkinton, MA 01748-1684
Phone
(508) 435-5455
Fax
(508) 435-9499
NPI assigned
May 27, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. John C Park, D.M.D.NPI 1538193966
Title
President
Phone
(508) 435-5455

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
Dental Clinic/Center 261QD0000X 20976 MA Primary

Addresses

Primary practice location

77 W Main St
Suite 210
Hopkinton, MA 01748-1684

Mailing address

77 W Main St
Suite 210
Hopkinton, MA 01748-1684
Phone (508) 435-5455

National Provider Directory

National Provider Directory

Locations

77 W Main St
Ste 210
Hopkinton, MA 01748
Phone (508) 435-5455

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": "1180224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184835365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 W MAIN ST",
            "address_2": "SUITE 210",
            "city": "HOPKINTON",
            "state": "MA",
            "postal_code": "017481684",
            "telephone_number": "508-435-5455",
            "fax_number": "508-435-9499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 W MAIN ST",
            "address_2": "SUITE 210",
            "city": "HOPKINTON",
            "state": "MA",
            "postal_code": "017481684",
            "telephone_number": "508-435-5455",
            "fax_number": "508-435-9499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPKINTON DENTAL ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-435-5455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MA",
            "license": "20976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopkinton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.