NPIMap

Organization Active NPI

Foster Street Dental, LLC

  • Dentist
  • Peabody, MA
National Provider Identifier
1255639035
Registry record updated Mar 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN1855026 Issued in MA
Legal business name
FOSTER STREET DENTAL, LLC
Practice address
80 Foster St
Unit 104
Peabody, MA 01960-5953
Phone
(978) 944-4197
NPI assigned
Mar 3, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2011

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

Authorized official

Name
Dr. Biplab Kumar Malo, D.M.D.NPI 1588710503
Title
President
Phone
(978) 944-4197

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
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X DN1855026 MA Primary

Addresses

Primary practice location

80 Foster St
Unit 104
Peabody, MA 01960-5953

Mailing address

8 Arlington Rd
Burlington, MA 01803-4122
Phone (978) 944-4197

National Provider Directory

National Provider Directory

Locations

80 Foster St
Unit 104
Peabody, MA 01960
Phone (978) 944-4197

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": "1299110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299110400000",
    "number": "1255639035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 ARLINGTON RD",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018034122",
            "telephone_number": "978-944-4197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 FOSTER ST",
            "address_2": "UNIT 104",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019605953",
            "telephone_number": "978-944-4197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOSTER STREET DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-03",
        "last_updated": "2011-03-03",
        "status": "A",
        "authorized_official_last_name": "MALO",
        "authorized_official_first_name": "BIPLAB",
        "authorized_official_middle_name": "KUMAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-944-4197",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1855026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peabody, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2011; 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.