Portside Family Dental, PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DN21431 Issued in MA

Legal business name

PORTSIDE FAMILY DENTAL, PC

Practice address

7 Brown SQ
Newburyport, MA 01950-2501

Phone

(978) 462-4590

NPI assigned

May 15, 2012

Last updated

May 15, 2012By 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. Sam A Merabi, DMD

Title

Dentist

Phone

(978) 462-4590

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.

• Ronald P Davitt, DDS

  • General Practice Dentistry
  • Newburyport, MA
  • NPI 1689685810
  NPD (past)

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

{
    "created_epoch": "1337040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337040000000",
    "number": "1184983843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 BROWN SQ",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "01950",
            "telephone_number": "978-462-4590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 BROWN SQ",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019502501",
            "telephone_number": "978-462-4590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTSIDE FAMILY DENTAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-15",
        "last_updated": "2012-05-15",
        "status": "A",
        "authorized_official_last_name": "MERABI",
        "authorized_official_first_name": "SAM",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "978-462-4590",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MA",
            "license": "DN21431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Port City Integrative Health LLC
• Port Primary Care & Wellness LLC
• Port Psychological Assoc Inc
• Port Psychology Inc
• Alana Giblin Porter, LICSW
• Isaac Pourati, M.D.
• Haley Silverman Pratt I
• Matthew C Priven, RD, LDN
• Psyched Integrated Wellness
• Marit Pywell, RDN, LDN

• Dental Clinic/Center in Newburyport, MA
• Providers in Newburyport, MA by specialty
• Dental Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2012; 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.