NPIMap

Organization Active NPI

Dental Associates of Walpole

  • General Practice Dentistry
  • Walpole, MA
National Provider Identifier
1255411831
Registry record updated Feb 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11377 Issued in MA
Legal business name
DENTAL ASSOCIATES OF WALPOLE
Practice address
1428 Main St
Suite 1
Walpole, MA 02081-1729
Phone
(508) 668-8008
Fax
(508) 668-8808
NPI assigned
Oct 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2016

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

Authorized official

Name
Dr. Christopher Russell Page, DMD
Title
Partner/Owner
Phone
(508) 668-8008

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 11377 MA Primary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X 12246 MA
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X 12607 MA

Addresses

Primary practice location

1428 Main St
Suite 1
Walpole, MA 02081-1729

Mailing address

1428 Main St
Suite 1
Walpole, MA 02081-1729
Phone (508) 668-8008

National Provider Directory

National Provider Directory

Locations

1428 Main St
Ste 1
Walpole, MA 02081
Phone (508) 668-8008

Practitioners & affiliated clinicians

Practitioners 9

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": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456272000000",
    "number": "1255411831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1428 MAIN ST",
            "address_2": "SUITE 1",
            "city": "WALPOLE",
            "state": "MA",
            "postal_code": "020811729",
            "telephone_number": "508-668-8008",
            "fax_number": "508-668-8808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1428 MAIN ST",
            "address_2": "SUITE 1",
            "city": "WALPOLE",
            "state": "MA",
            "postal_code": "020811729",
            "telephone_number": "508-668-8008",
            "fax_number": "508-668-8808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL ASSOCIATES OF WALPOLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2016-02-24",
        "status": "A",
        "authorized_official_last_name": "PAGE",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "RUSSELL",
        "authorized_official_title_or_position": "PARTNER/OWNER",
        "authorized_official_telephone_number": "508-668-8008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "11377",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MA",
            "license": "12246",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MA",
            "license": "12607",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walpole, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2016; 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.