Organization Active NPI

James L. Pelletier, D.D.S.,P.C.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Dracut, MA
National Provider Identifier
1255421392
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
17028 Issued in MA
Legal business name
JAMES L. PELLETIER, D.D.S.,P.C.
Practice address
1533 Lakeview Ave
Dracut, MA 01826-3324
Phone
(978) 957-7170
Fax
(978) 957-9170
NPI assigned
Oct 12, 2006
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. James Lionel Pelletier, D.D.S.NPI 1003831009
Title
President
Phone
(978) 957-7170

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
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 17028 MA Primary

Addresses

Primary practice location

1533 Lakeview Ave
Dracut, MA 01826-3324

Mailing address

1533 Lakeview Avenue
Dracut, MA 01826
Phone (978) 957-7170

National Provider Directory

National Provider Directory

Locations

1533 Lakeview Ave
Dracut, MA 01826
Phone (978) 957-7170

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": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255421392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1533 LAKEVIEW AVENUE",
            "city": "DRACUT",
            "state": "MA",
            "postal_code": "01826",
            "telephone_number": "978-957-7170",
            "fax_number": "978-957-9170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1533 LAKEVIEW AVE",
            "city": "DRACUT",
            "state": "MA",
            "postal_code": "018263324",
            "telephone_number": "978-957-7170",
            "fax_number": "978-957-9170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES L. PELLETIER, D.D.S.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PELLETIER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "LIONEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-957-7170",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MA",
            "license": "17028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dracut, 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.