NPIMap

Organization Active NPI

North Attleboro Dental

  • Dentist
  • North Attleboro, MA
National Provider Identifier
1225209968
Registry record updated Mar 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
19010 Issued in MA
Legal business name
NORTH ATTLEBORO DENTAL
Practice address
55 Plain St
North Attleboro, MA 02760-4107
Phone
(508) 643-3360
Fax
(508) 643-3316
NPI assigned
Mar 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2008

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

Authorized official

Name
Dr. Hugo A Sotelo, DMDNPI 1598732810
Title
President
Phone
(508) 643-3360

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 19010 MA Primary

Addresses

Primary practice location

55 Plain St
North Attleboro, MA 02760-4107

Mailing address

55 Plain St
North Attleboro, MA 02760-4107
Phone (508) 643-3360

Other identifiers 1

IdentifierTypeStateIssuer
9902889MedicaidMA

National Provider Directory

National Provider Directory

Locations

55 Plain St
North Attleboro, MA 02760
Phone (508) 643-3360

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": "1206057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206057600000",
    "number": "1225209968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 PLAIN ST",
            "city": "NORTH ATTLEBORO",
            "state": "MA",
            "postal_code": "027604107",
            "telephone_number": "508-643-3360",
            "fax_number": "508-643-3316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 PLAIN ST",
            "city": "NORTH ATTLEBORO",
            "state": "MA",
            "postal_code": "027604107",
            "telephone_number": "508-643-3360",
            "fax_number": "508-643-3316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH ATTLEBORO DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-21",
        "last_updated": "2008-03-21",
        "status": "A",
        "authorized_official_last_name": "SOTELO",
        "authorized_official_first_name": "HUGO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-643-3360",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MA",
            "license": "19010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9902889",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Attleboro, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.