NPIMap

Organization Active NPI

Destiny Empowerment Center Inc

  • General Practice Dentistry
  • Randolph, MA
National Provider Identifier
1225773146
Registry record updated May 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DESTINY EMPOWERMENT CENTER INC
Practice address
999 N Main St Ste 2
Randolph, MA 02368-3072
Phone
(617) 984-5380
NPI assigned
May 4, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2022

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

Authorized official

Name
Gloria Olatunji
Title
Ceo
Phone
(617) 984-5380

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

999 N Main St Ste 2
Randolph, MA 02368-3072

Mailing address

PO Box 486
Randolph, MA 02368-0486
Phone (617) 984-5380

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL info@destinyempowermentcenter.org Direct

National Provider Directory

National Provider Directory
Tax ID family
Destiny Empowerment Center Inc2 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.

NPI Registry JSON

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

{
    "created_epoch": "1651622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651622400000",
    "number": "1225773146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 486",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023680486",
            "telephone_number": "617-984-5380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 N MAIN ST STE 2",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023683072",
            "telephone_number": "617-984-5380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESTINY EMPOWERMENT CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-04",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A",
        "authorized_official_last_name": "OLATUNJI",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "617-984-5380"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "info@destinyempowermentcenter.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "999 N Main St Ste 2",
            "city": "Randolph",
            "state": "MA",
            "country_code": "US",
            "postal_code": "023683072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Randolph, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2022; 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.