Organization Active NPI

Orthodontic Specialists of Southeastern Ma

  • Dental Clinic/Center
  • Middleboro, MA
National Provider Identifier
1194110726
Registry record updated Nov 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ORTHODONTIC SPECIALISTS OF SOUTHEASTERN MA
Practice address
47 Bedford Street
Unit 4
Middleboro, MA 02346
Phone
(508) 947-8209
Fax
(508) 947-3714
NPI assigned
Mar 31, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2017

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

Authorized official

Name
Mr. Neil L Oliveira, D.M.D.
Title
Owner/Orthodontist
Phone
(508) 947-8209

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

47 Bedford Street
Unit 4
Middleboro, MA 02346

Mailing address

47 Bedford Street
Unit 4
Middleboro, MA 02346
Phone (508) 947-8209

National Provider Directory

National Provider Directory

Locations

47 Bedford St
Unit 4
Middleboro, MA 02346
Phone (508) 947-8209

NPI Registry JSON

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

{
    "created_epoch": "1427760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509580800000",
    "number": "1194110726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 BEDFORD STREET",
            "address_2": "UNIT 4",
            "city": "MIDDLEBORO",
            "state": "MA",
            "postal_code": "02346",
            "telephone_number": "508-947-8209",
            "fax_number": "508-947-3714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 BEDFORD STREET",
            "address_2": "UNIT 4",
            "city": "MIDDLEBORO",
            "state": "MA",
            "postal_code": "02346",
            "telephone_number": "508-947-8209",
            "fax_number": "508-947-3714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHODONTIC SPECIALISTS OF SOUTHEASTERN MA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-31",
        "last_updated": "2017-11-02",
        "status": "A",
        "authorized_official_last_name": "OLIVEIRA",
        "authorized_official_first_name": "NEIL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/ORTHODONTIST",
        "authorized_official_telephone_number": "508-947-8209",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleboro, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2017; 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.