NPIMap

Organization Active NPI

Central Ma Orthodonitc Associates, PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Spencer, MA
National Provider Identifier
1184850091
Registry record updated Jun 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
17729 Issued in MA
Legal business name
CENTRAL MA ORTHODONITC ASSOCIATES, PC
Practice address
276 Main St
Spencer, MA 01562-1838
Phone
(508) 885-2749
Fax
(508) 885-0907
NPI assigned
Jun 5, 2009
Last updated
Jun 5, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
CENTRAL MA ORTHODONTIC ASSOCAITES, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 5, 2009

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

Authorized official

Name
Lisa Marie Giarrusso, D.M.D.NPI 1821282591
Title
President,Treasurer Cmoa, PC
Phone
(508) 753-2489

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 17729 MA Primary

Addresses

Primary practice location

276 Main St
Spencer, MA 01562-1838

Mailing address

276 Main St
Spencer, MA 01562-1838
Phone (508) 885-2749

National Provider Directory

National Provider Directory
Tax ID family
Central Ma Orthodontic Associates PC3 organizations share this tax ID, including this one
Part of
Central Ma Orthodontic Associates PC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

276 Main St
Spencer, MA 01562
Phone (508) 885-2749

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": "1244160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244160000000",
    "number": "1184850091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "276 MAIN ST",
            "city": "SPENCER",
            "state": "MA",
            "postal_code": "015621838",
            "telephone_number": "508-885-2749",
            "fax_number": "508-885-0907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "276 MAIN ST",
            "city": "SPENCER",
            "state": "MA",
            "postal_code": "015621838",
            "telephone_number": "508-885-2749",
            "fax_number": "508-885-0907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL MA ORTHODONITC ASSOCIATES, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTRAL MA ORTHODONTIC ASSOCAITES, PC",
        "enumeration_date": "2009-06-05",
        "last_updated": "2009-06-05",
        "status": "A",
        "authorized_official_last_name": "GIARRUSSO",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT,TREASURER CMOA, PC",
        "authorized_official_telephone_number": "508-753-2489",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MA",
            "license": "17729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spencer, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2009; 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.