Organization Active NPI

River's Edge Family Dental

  • General Practice Dentistry
  • Haverhill, MA
National Provider Identifier
1194974436
Registry record updated Sep 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
20485 Issued in MA
Legal business name
RIVER'S EDGE FAMILY DENTAL
Practice address
241 Lincoln Ave
Haverhill, MA 01830-6738
Phone
(978) 469-9200
Fax
(978) 469-9201
NPI assigned
Sep 11, 2008
Last updated
Sep 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2008

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

Authorized official

Name
Dr. Julia Faigel
Title
Doctor
Phone
(978) 469-9200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 20485 MA Primary

Addresses

Primary practice location

241 Lincoln Ave
Haverhill, MA 01830-6738

Mailing address

241 Lincoln Ave
Haverhill, MA 01830-6738
Phone (978) 469-9200

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1221091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221091200000",
    "number": "1194974436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 LINCOLN AVE",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018306738",
            "telephone_number": "978-469-9200",
            "fax_number": "978-469-9201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 LINCOLN AVE",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018306738",
            "telephone_number": "978-469-9200",
            "fax_number": "978-469-9201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER'S EDGE FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-11",
        "last_updated": "2008-09-11",
        "status": "A",
        "authorized_official_last_name": "FAIGEL",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "978-469-9200",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "20485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haverhill, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2008; 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.