NPIMap

Organization Active NPI

Alpha Dental Center of Dartmouth, LLC

  • General Practice Dentistry
  • N Dartmouth, MA
National Provider Identifier
1225502693
Registry record updated Jan 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ALPHA DENTAL CENTER OF DARTMOUTH, LLC
Practice address
145 Faunce Corner Rd Ste C
N Dartmouth, MA 02747-1263
Phone
(508) 993-5900
Fax
(508) 993-5912
NPI assigned
Jan 18, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2019

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

Authorized official

Name
Mardy Costa
Title
Administrator
Phone
(508) 728-5019

Specialties & licenses 1

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

Addresses

Primary practice location

145 Faunce Corner Rd Ste C
N Dartmouth, MA 02747-1263

Mailing address

145 Faunce Corner Rd Ste C
N Dartmouth, MA 02747-1263
Phone (508) 993-5900

National Provider Directory

National Provider Directory
Tax ID family
Alpha Dental Center of Dartmouth LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

145 Faunce Corner Rd
Ste C
North Dartmouth, MA 02747
Phone (508) 993-5900

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 2

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": "1547769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547769600000",
    "number": "1225502693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 FAUNCE CORNER RD STE C",
            "city": "N DARTMOUTH",
            "state": "MA",
            "postal_code": "027471263",
            "telephone_number": "508-993-5900",
            "fax_number": "508-993-5912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 FAUNCE CORNER RD STE C",
            "city": "N DARTMOUTH",
            "state": "MA",
            "postal_code": "027471263",
            "telephone_number": "508-993-5900",
            "fax_number": "508-993-5912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA DENTAL CENTER OF DARTMOUTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-18",
        "last_updated": "2019-01-18",
        "status": "A",
        "authorized_official_last_name": "COSTA",
        "authorized_official_first_name": "MARDY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "508-728-5019"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in N Dartmouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2019; 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.