NPIMap

Organization Active NPI

South Shore Dental Prosthetics Assoc. Inc

  • Dentist
  • Quincy, MA
National Provider Identifier
1184862500
Registry record updated Jan 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12314 Issued in MA
Legal business name
SOUTH SHORE DENTAL PROSTHETICS ASSOC. INC
Practice address
165 Washington St
Quincy, MA 02169-5514
Phone
(617) 471-1890
Fax
(617) 471-7310
NPI assigned
Jan 22, 2009
Last updated
Jan 22, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2009

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

Authorized official

Name
Dr. Vincent Karl Trossello, DMDNPI 1033242979
Title
President
Phone
(617) 471-1890

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
Dentist 122300000X 12314 MA Primary

Addresses

Primary practice location

165 Washington St
Quincy, MA 02169-5514

Mailing address

165 Washington St
Quincy, MA 02169-5514
Phone (617) 471-1890

National Provider Directory

National Provider Directory
Tax ID family
South Shore Dental Prosthetic Associates Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

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": "1232582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232582400000",
    "number": "1184862500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 WASHINGTON ST",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021695514",
            "telephone_number": "617-471-1890",
            "fax_number": "617-471-7310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 WASHINGTON ST",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021695514",
            "telephone_number": "617-471-1890",
            "fax_number": "617-471-7310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SHORE DENTAL PROSTHETICS ASSOC. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-22",
        "last_updated": "2009-01-22",
        "status": "A",
        "authorized_official_last_name": "TROSSELLO",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "KARL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-471-1890",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "12314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, MA

Sources for this page

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