NPIMap

Organization Active NPI

Quinsigamond Community College

  • Dental Clinic/Center
  • Worcester, MA
National Provider Identifier
1245439397
Registry record updated Jul 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
QUINSIGAMOND COMMUNITY COLLEGE
Practice address
670 W Boylston St
Worcester, MA 01606-2064
Phone
(508) 853-2300
Fax
(508) 854-4553
NPI assigned
Jul 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2007

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

Authorized official

Name
Joyce Cravedi
Title
Comptroller
Phone
(508) 854-4207

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

670 W Boylston St
Worcester, MA 01606-2064

Mailing address

670 W Boylston St
Worcester, MA 01606-2064
Phone (508) 853-2300

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.

NPI Registry JSON

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184630400000",
    "number": "1245439397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 W BOYLSTON ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016062064",
            "telephone_number": "508-853-2300",
            "fax_number": "508-854-4553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 W BOYLSTON ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016062064",
            "telephone_number": "508-853-2300",
            "fax_number": "508-854-4553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUINSIGAMOND COMMUNITY COLLEGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-17",
        "last_updated": "2007-07-17",
        "status": "A",
        "authorized_official_last_name": "CRAVEDI",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_title_or_position": "COMPTROLLER",
        "authorized_official_telephone_number": "508-854-4207"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2007; 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.