Organization Active NPI

Redstone Dental Center, LLC

  • Dentist
  • Stoneham, MA
National Provider Identifier
1215296009
Registry record updated May 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN1855152 Issued in MA
Legal business name
REDSTONE DENTAL CENTER, LLC
Practice address
70 Main St
Stoneham, MA 02180-3312
Phone
(781) 438-0345
NPI assigned
May 14, 2012
Last updated
May 14, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2012

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

Authorized official

Name
Dr. Quynh Bui
Title
Dentist
Phone
(781) 438-0345

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN1855152 MA Primary

Addresses

Primary practice location

70 Main St
Stoneham, MA 02180-3312

Mailing address

70 Main St
Stoneham, MA 02180-3312

National Provider Directory

National Provider Directory

Locations

70 Main St
Stoneham, MA 02180
Phone (617) 257-5763

NPI Registry JSON

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

{
    "created_epoch": "1336953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336953600000",
    "number": "1215296009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 MAIN ST",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021803312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 MAIN ST",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021803312",
            "telephone_number": "781-438-0345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDSTONE DENTAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-14",
        "last_updated": "2012-05-14",
        "status": "A",
        "authorized_official_last_name": "BUI",
        "authorized_official_first_name": "QUYNH",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "781-438-0345",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1855152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stoneham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2012; 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.