NPIMap

Organization Active NPI

Jacinta Menezes Fernandes,DDS.PC

Doing business as Endodontics of Malden

  • Endodontics
  • Malden, MA
National Provider Identifier
1245432343
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
18968 Issued in MA
Legal business name
JACINTA MENEZES FERNANDES,DDS.PC
Doing business as
Endodontics of Malden
Practice address
10 Holden St
Second Floor, Suite # 5
Malden, MA 02148-5238
Phone
(781) 321-6006
Fax
(781) 324-1549
NPI assigned
Jun 1, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jacinta Menezes Fernandes, DDSNPI 1881751972
Title
Endodontist
Phone
(781) 321-6006

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
Endodontics 1223E0200X 18968 MA Primary

Addresses

Primary practice location

10 Holden St
Second Floor, Suite # 5
Malden, MA 02148-5238

Mailing address

10 Holden St
Second Floor, Suite # 5
Malden, MA 02148-5238
Phone (781) 032-1600

Other names 1

  • ENDODONTICS OF MALDEN Doing business as

National Provider Directory

National Provider Directory

Locations

10 Holden St
Ste 5
Malden, MA 02148
Phone (781) 321-6006

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": "1180656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245432343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 HOLDEN ST",
            "address_2": "SECOND FLOOR, SUITE # 5",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021485238",
            "telephone_number": "781-032-1600",
            "fax_number": "781-324-1549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 HOLDEN ST",
            "address_2": "SECOND FLOOR, SUITE # 5",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021485238",
            "telephone_number": "781-321-6006",
            "fax_number": "781-324-1549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACINTA MENEZES FERNANDES,DDS.PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FERNANDES",
        "authorized_official_first_name": "JACINTA",
        "authorized_official_middle_name": "MENEZES",
        "authorized_official_title_or_position": "ENDODONTIST",
        "authorized_official_telephone_number": "781-321-6006",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "MA",
            "license": "18968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ENDODONTICS OF MALDEN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Malden, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.