NPIMap

Organization Active NPI

Lexington Prosthodontics

  • Prosthodontics
  • Lexington, MA
National Provider Identifier
1205008778
Registry record updated Mar 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
Legal business name
LEXINGTON PROSTHODONTICS
Practice address
803 Mass Ave
Lexington, MA 02420-3918
Phone
(781) 862-8220
Fax
(781) 862-3050
NPI assigned
Mar 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2008

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

Authorized official

Name
Dr. David Robert Cusanello, D.M.D.
Title
Partner/Dentist
Phone
(781) 862-8220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ProsthodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0700X Primary

Addresses

Primary practice location

803 Mass Ave
Lexington, MA 02420-3918

Mailing address

803 Mass Ave
Lexington, MA 02420-3918
Phone (781) 862-8220

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1206403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206403200000",
    "number": "1205008778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 MASS AVE",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024203918",
            "telephone_number": "781-862-8220",
            "fax_number": "781-862-3050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 MASS AVE",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024203918",
            "telephone_number": "781-862-8220",
            "fax_number": "781-862-3050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEXINGTON PROSTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-25",
        "last_updated": "2008-03-25",
        "status": "A",
        "authorized_official_last_name": "CUSANELLO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PARTNER/DENTIST",
        "authorized_official_telephone_number": "781-862-8220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.