Organization Active NPI

Norwell Family Dentistry LLC

  • Preferred Provider Organization
  • Norwell, MA
National Provider Identifier
1215390208
Registry record updated Mar 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
DN19970 Issued in MA
Legal business name
NORWELL FAMILY DENTISTRY LLC
Practice address
334 Washington St
2
Norwell, MA 02061-1756
Phone
(781) 659-4034
Fax
(781) 659-4080
NPI assigned
Mar 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2016

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

Authorized official

Name
Dr. Liat B Moore, DMDNPI 1841319357
Title
Dentist
Phone
(781) 659-4034

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X DN19970 MA Primary

Addresses

Primary practice location

334 Washington St
2
Norwell, MA 02061-1756

Mailing address

334 Washington St
2
Norwell, MA 02061-1756
Phone (781) 659-4034

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1459209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459209600000",
    "number": "1215390208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 WASHINGTON ST",
            "address_2": "2",
            "city": "NORWELL",
            "state": "MA",
            "postal_code": "020611756",
            "telephone_number": "781-659-4034",
            "fax_number": "781-659-4080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 WASHINGTON ST",
            "address_2": "2",
            "city": "NORWELL",
            "state": "MA",
            "postal_code": "020611756",
            "telephone_number": "781-659-4034",
            "fax_number": "781-659-4080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORWELL FAMILY DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-29",
        "last_updated": "2016-03-29",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "LIAT",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "781-659-4034",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "MA",
            "license": "DN19970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwell, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2016; 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.