Individual provider Active NPI

Kelsey A George

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • South Attleboro, MA
National Provider Identifier
1245899350
Registry record updated Jun 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DN1857319 Issued in MA
Practice address
288 Highland Ave
South Attleboro, MA 02703-6880
Phone
(250) 876-1530
Fax
(508) 761-3180
NPI assigned
Jun 12, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DN1857319 MA Primary

Addresses

Primary practice location

288 Highland Ave
South Attleboro, MA 02703-6880

Mailing address

288 Highland Ave
South Attleboro, MA 02703-6880
Phone (250) 876-1530

Other practice location 1

23 Airport Rd
Vineyard Haven, MA 02568-8103
Phone (508) 693-3766

Other practice location 2

520 Taunton Ave
Seekonk, MA 02771-3101
Phone (508) 336-3066

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@georgefamilyorthodontics.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN1857319MAMDOrthodontics and Dentofacial Orthopedic Dentist

NPI Registry JSON

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

{
    "created_epoch": "1560297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560297600000",
    "number": "1245899350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "288 HIGHLAND AVE",
            "city": "SOUTH ATTLEBORO",
            "state": "MA",
            "postal_code": "027036880",
            "telephone_number": "250-876-1530",
            "fax_number": "508-761-3180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "288 HIGHLAND AVE",
            "city": "SOUTH ATTLEBORO",
            "state": "MA",
            "postal_code": "027036880",
            "telephone_number": "250-876-1530",
            "fax_number": "508-761-3180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23 Airport Rd",
            "address_purpose": "LOCATION",
            "city": "Vineyard Haven",
            "state": "MA",
            "postal_code": "025688103",
            "country_code": "US",
            "telephone_number": "508-693-3766",
            "fax_number": "508-761-8310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "520 Taunton Ave",
            "address_purpose": "LOCATION",
            "city": "Seekonk",
            "state": "MA",
            "postal_code": "027713101",
            "country_code": "US",
            "telephone_number": "508-336-3066",
            "fax_number": "508-761-3180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "KELSEY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-12",
        "last_updated": "2019-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MA",
            "license": "DN1857319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@georgefamilyorthodontics.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "288 Highland Ave",
            "city": "South Attleboro",
            "state": "MA",
            "country_code": "US",
            "postal_code": "027036880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in South Attleboro, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2019; 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.