Organization Active NPI

Mobile Dental Hygiene Services of Western Mass, LLC

  • Dental Hygienist
  • Brimfield, MA
National Provider Identifier
1245013564
Registry record updated Aug 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
Legal business name
MOBILE DENTAL HYGIENE SERVICES OF WESTERN MASS, LLC
Practice address
359 Brookfield Rd
Brimfield, MA 01010-9676
Phone
(508) 341-1599
NPI assigned
Aug 18, 2023
Last updated
Aug 18, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2023

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

Authorized official

Name
Ms. Manda Lee Day, RDHNPI 1487073342
Title
Registered Dental Hygienist
Phone
(508) 341-1599

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
Dental Hygienist 124Q00000X Primary

Addresses

Primary practice location

359 Brookfield Rd
Brimfield, MA 01010-9676

Mailing address

PO Box 103
Brimfield, MA 01010-0103
Phone (508) 341-1599

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1692316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692316800000",
    "number": "1245013564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 103",
            "city": "BRIMFIELD",
            "state": "MA",
            "postal_code": "010100103",
            "telephone_number": "508-341-1599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "359 BROOKFIELD RD",
            "city": "BRIMFIELD",
            "state": "MA",
            "postal_code": "010109676",
            "telephone_number": "508-341-1599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE DENTAL HYGIENE SERVICES OF WESTERN MASS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-18",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-18",
        "status": "A",
        "authorized_official_last_name": "DAY",
        "authorized_official_first_name": "MANDA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "REGISTERED DENTAL HYGIENIST",
        "authorized_official_telephone_number": "508-341-1599",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RDH"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brimfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2023; 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.