NPIMap

Organization Active NPI

Family & Cosmetic Dentistry of North Andover, LLC

  • General Practice Dentistry
  • North Andover, MA
National Provider Identifier
1255598546
Registry record updated May 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
20731 Issued in MA
Legal business name
FAMILY & COSMETIC DENTISTRY OF NORTH ANDOVER, LLC
Practice address
451 Andover St
Suite G6
North Andover, MA 01845-5044
Phone
(978) 681-9911
Fax
(978) 681-8539
NPI assigned
May 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2008

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

Authorized official

Name
Dr. Mandy Chan, D.M.D.NPI 1033132246
Title
Dentist
Phone
(978) 681-9911

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 20731 MA Primary

Addresses

Primary practice location

451 Andover St
Suite G6
North Andover, MA 01845-5044

Mailing address

451 Andover St
Suite G6
North Andover, MA 01845-5044
Phone (978) 681-9911

National Provider Directory

National Provider Directory

Locations

451 Andover St
Ste G6
North Andover, MA 01845
Phone (978) 681-9911

Practitioners & affiliated clinicians

Practitioners 2

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": "1211414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211414400000",
    "number": "1255598546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 ANDOVER ST",
            "address_2": "SUITE G6",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018455044",
            "telephone_number": "978-681-9911",
            "fax_number": "978-681-8539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 ANDOVER ST",
            "address_2": "SUITE G6",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018455044",
            "telephone_number": "978-681-9911",
            "fax_number": "978-681-8539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY & COSMETIC DENTISTRY OF NORTH ANDOVER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-22",
        "last_updated": "2008-05-22",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "MANDY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "978-681-9911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "20731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Andover, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; 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.