NPIMap

Organization Active NPI

Wellesley Family Dental

  • Dental Clinic/Center
  • Wellesley, MA
National Provider Identifier
1245665892
Registry record updated Sep 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DN19097 Issued in MA
Legal business name
WELLESLEY FAMILY DENTAL
Practice address
310 Washington St Ste 208
Wellesley, MA 02481-4949
Phone
(617) 398-8323
NPI assigned
Sep 13, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2013

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

Authorized official

Name
Dr. Emrey Moskowitz-Porath, D.D.SNPI 1265866032
Title
Dentist
Phone
(617) 308-8323

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 Clinic/Center 261QD0000X DN19097 MA Primary

Addresses

Primary practice location

310 Washington St Ste 208
Wellesley, MA 02481-4949

Mailing address

20 Cotton St
Newton, MA 02458-2620
Phone (617) 308-8323

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": "1379030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379030400000",
    "number": "1245665892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 COTTON ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024582620",
            "telephone_number": "617-308-8323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 WASHINGTON ST STE 208",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024814949",
            "telephone_number": "617-398-8323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLESLEY FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-13",
        "last_updated": "2013-09-13",
        "status": "A",
        "authorized_official_last_name": "MOSKOWITZ-PORATH",
        "authorized_official_first_name": "EMREY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "617-308-8323",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MA",
            "license": "DN19097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellesley, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2013; 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.