NPIMap

Organization Active NPI

Dentacare, LLC

  • Dental Hygienist
  • Medford, MA
National Provider Identifier
1255853685
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
DH87480 Issued in MA
Legal business name
DENTACARE, LLC
Practice address
30 Amaranth PL
Medford, MA 02155-4101
Phone
(617) 230-4071
NPI assigned
Jul 7, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Shalini Lahoty, RDHNPI 1942501416
Title
Founder
Phone
(617) 230-4071

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
Dental HygienistGroup: 193400000X SINGLE SPECIALTY GROUP 124Q00000X DH87480 MA Primary

Addresses

Primary practice location

30 Amaranth PL
Medford, MA 02155-4101

Mailing address

30 Amaranth PL
Medford, MA 02155-4101
Phone (617) 230-4071

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1499385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1255853685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 AMARANTH PL",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021554101",
            "telephone_number": "617-230-4071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 AMARANTH PL",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021554101",
            "telephone_number": "617-230-4071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTACARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-07",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LAHOTY",
        "authorized_official_first_name": "SHALINI",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "617-230-4071",
        "authorized_official_credential": "RDH"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dental Hygienist",
            "state": "MA",
            "license": "DH87480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.