Organization Active NPI

Hancock Dental PC

  • General Practice Dentistry
  • Wollaston, MA
National Provider Identifier
1205023975
Registry record updated Sep 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
20920 Issued in MA
Legal business name
HANCOCK DENTAL PC
Practice address
522 Hancock St
Wollaston, MA 02170-1921
Phone
(617) 773-6605
Fax
(617) 773-6606
NPI assigned
Sep 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2007

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

Authorized official

Name
Dr. Shahrzad Haghayegh-Askarian, DMD
Title
President
Phone
(617) 773-6605

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 20920 MA Primary

Addresses

Primary practice location

522 Hancock St
Wollaston, MA 02170-1921

Mailing address

522 Hancock St
Wollaston, MA 02170-1921
Phone (617) 773-6605

National Provider Directory

National Provider Directory

Locations

522 Hancock St
Wollaston, MA 02170
Phone (617) 773-6605

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190764800000",
    "number": "1205023975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 HANCOCK ST",
            "city": "WOLLASTON",
            "state": "MA",
            "postal_code": "021701921",
            "telephone_number": "617-773-6605",
            "fax_number": "617-773-6606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 HANCOCK ST",
            "city": "WOLLASTON",
            "state": "MA",
            "postal_code": "021701921",
            "telephone_number": "617-773-6605",
            "fax_number": "617-773-6606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANCOCK DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-26",
        "last_updated": "2007-09-26",
        "status": "A",
        "authorized_official_last_name": "HAGHAYEGH-ASKARIAN",
        "authorized_official_first_name": "SHAHRZAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-773-6605",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "20920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wollaston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2007; 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.