NPIMap

Organization Active NPI

Lynn Family Dental and Orthodontics PC

Doing business as Orthodontics, Sleep Apnea and Snore Relief Center

  • Dentist
  • Revere, MA
National Provider Identifier
1235968819
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
LYNN FAMILY DENTAL AND ORTHODONTICS PC
Doing business as
Orthodontics, Sleep Apnea and Snore Relief Center
Practice address
123 Revere St
Revere, MA 02151-4439
Phone
(617) 401-8298
NPI assigned
Jul 31, 2024
Last updated
Jul 31, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Authorized official

Name
Dr. Neetu Bansal, DMD
Title
Owner
Phone
(617) 275-6306

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU
Dentist 122300000X NU Primary
Advanced Practice Dental Therapist 125K00000X NU

Addresses

Primary practice location

123 Revere St
Revere, MA 02151-4439

Mailing address

123 Revere St
Revere, MA 02151-4439
Phone (617) 401-8298

Other practice location 1

4 Norman St
Salem, MA 01970-3314
Phone (978) 744-1211

Other practice location 2

231 Main St Ste 200
Brockton, MA 02301-4342
Phone (508) 588-8338

Other practice location 3

999 Saratoga St
East Boston, MA 02128-1238
Phone (617) 569-2761

Other names 1

  • ORTHODONTICS, SLEEP APNEA AND SNORE RELIEF CENTER Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Joie Smiles Boston3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

4 Norman St
Salem, MA 01970
Phone (617) 401-8298

NPI Registry JSON

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

{
    "created_epoch": "1722384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722384000000",
    "number": "1235968819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 REVERE ST",
            "city": "REVERE",
            "state": "MA",
            "postal_code": "021514439",
            "telephone_number": "617-401-8298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 REVERE ST",
            "city": "REVERE",
            "state": "MA",
            "postal_code": "021514439",
            "telephone_number": "617-401-8298"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 Norman St",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "MA",
            "postal_code": "019703314",
            "country_code": "US",
            "telephone_number": "978-744-1211",
            "fax_number": "978-744-1205",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "231 Main St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Brockton",
            "state": "MA",
            "postal_code": "023014342",
            "country_code": "US",
            "telephone_number": "508-588-8338",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "999 Saratoga St",
            "address_purpose": "LOCATION",
            "city": "East Boston",
            "state": "MA",
            "postal_code": "021281238",
            "country_code": "US",
            "telephone_number": "617-569-2761",
            "fax_number": "617-997-0030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LYNN FAMILY DENTAL AND ORTHODONTICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-31",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A",
        "authorized_official_last_name": "BANSAL",
        "authorized_official_first_name": "NEETU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-275-6306",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "125K00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Dental Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ORTHODONTICS, SLEEP APNEA AND SNORE RELIEF CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Revere, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; 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.