Organization Active NPI

KD Orthodontics P.C.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • West Springfield, MA
National Provider Identifier
1235448945
Registry record updated Sep 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
19482 Issued in MA
Legal business name
KD ORTHODONTICS P.C.
Practice address
232 Park St
West Springfield, MA 01089-3314
Phone
(413) 737-2200
NPI assigned
Sep 29, 2010
Organization subpart
Yes
Parent organization
THE KIDS DENTIST, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 29, 2010

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

Authorized official

Name
Dr. Robert L Matthews, DMD
Title
Owner
Phone
(413) 737-2200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 19482 MA Primary

Addresses

Primary practice location

232 Park St
West Springfield, MA 01089-3314

Mailing address

232 Park St
West Springfield, MA 01089-3314
Phone (413) 737-2200

National Provider Directory

National Provider Directory
Tax ID family
KD Orthodontics PC2 organizations share this tax ID, including this one
Part of
KD Orthodontics PC

Other organizations with this tax ID 1

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

Locations

232 Park St
West Springfield, MA 01089
Phone (413) 310-2604

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1285718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285718400000",
    "number": "1235448945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 PARK ST",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010893314",
            "telephone_number": "413-737-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 PARK ST",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010893314",
            "telephone_number": "413-737-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KD ORTHODONTICS P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE KIDS DENTIST, INC.",
        "enumeration_date": "2010-09-29",
        "last_updated": "2010-09-29",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "413-737-2200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MA",
            "license": "19482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Springfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2010; 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.