Robert J Deregis DMD,PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

18626 Issued in MA

Legal business name

ROBERT J DEREGIS DMD,PC

Practice address

183 Bedford St Ste 1
Suite 1
Lexington, MA 02420-4428

Phone

(781) 862-7474

Fax

(781) 862-7475

NPI assigned

May 21, 2007

Organization subpart

No

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

Authorized official

Name

Robert J Deregis, DMDNPI 1700917895

Title

General Dentist

Phone

(781) 862-7474

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.

• Robert J Deregis, DMD

  • General Practice Dentistry
  • Lexington, MA
  • NPI 1700917895
  NPD (past) Authorized official

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194934869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183 BEDFORD ST STE 1",
            "address_2": "SUITE 1",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024204428",
            "telephone_number": "781-862-7474",
            "fax_number": "781-862-7475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183 BEDFORD ST STE 1",
            "address_2": "SUITE 1",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024204428",
            "telephone_number": "781-862-7474",
            "fax_number": "781-862-7475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT J DEREGIS DMD,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEREGIS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "781-862-7474",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "18626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Riser and Tread
• Judith Lynn Rissman, MD
• Daijah Rivera
• Daniel Stephen Rizzo, DPT
• Jenna Robbins, MS., CCC-SLP
• Linda Robillard, NP
• Teresa Rocha-Ruiz, MA, MED.
• Ava Rocino
• Valery Rockwell, CCMHC, LMHC
• Julio Javier Rodriguez

• General Practice Dentistry in Lexington, MA
• Providers in Lexington, MA by specialty
• General Practice Dentistry in Massachusetts

• 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.