NPIMap

Organization Active NPI

Commonwealth of Massachusetts

Doing business as Brockton Area Office

  • Case Management Agency
  • Brockton, MA
National Provider Identifier
1245364595
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
EXAMPT Issued in NU
Legal business name
COMMONWEALTH OF MASSACHUSETTS
Doing business as
Brockton Area Office
DDS Brockton Area Office
Practice address
60 Main Street
3Rd Floor
Brockton, MA 02301
Phone
(508) 427-5731
Fax
(508) 586-9316
NPI assigned
Mar 16, 2007
Last updated
Mar 19, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
COMMONWEALTH OF MASSACHUSETTSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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

Authorized official

Name
Dylan Lattimore
Title
Deputy Commissioner of Administrat
Phone
(857) 408-0675

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X EXAMPT NU Primary

Addresses

Primary practice location

60 Main Street
3Rd Floor
Brockton, MA 02301

Mailing address

40 Broad Street
4TH Floor
Boston, MA 02109
Phone (617) 727-5608

Other identifiers 2

IdentifierTypeStateIssuer
110000085OMedicaidMA
1813471MedicaidMA

Other names 2

  • Brockton Area Office Doing business as
  • DDS BROCKTON AREA OFFICE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Worcester State147 organizations share this tax ID, including this one
Part of
Worcester State

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773878400000",
    "number": "1245364595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 BROAD STREET",
            "address_2": "4TH FLOOR",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02109",
            "telephone_number": "617-727-5608",
            "fax_number": "617-624-7577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 MAIN STREET",
            "address_2": "3RD FLOOR",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "02301",
            "telephone_number": "508-427-5731",
            "fax_number": "508-586-9316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONWEALTH OF MASSACHUSETTS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMONWEALTH OF MASSACHUSETTS",
        "enumeration_date": "2007-03-16",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A",
        "authorized_official_last_name": "LATTIMORE",
        "authorized_official_first_name": "DYLAN",
        "authorized_official_title_or_position": "DEPUTY COMMISSIONER OF ADMINISTRAT",
        "authorized_official_telephone_number": "857-408-0675"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": "EXAMPT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110000085O",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1813471",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brockton Area Office",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DDS BROCKTON AREA OFFICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brockton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2026; 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.