NPIMap

Organization Active NPI

Excel Dental of Haverhill LLC

Doing business as Excel Dental

  • General Practice Dentistry
  • Haverhill, MA
National Provider Identifier
1265072524
Registry record updated Jan 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
EXCEL DENTAL OF HAVERHILL LLC
Doing business as
Excel Dental
Practice address
400 Lowell Ave Ste 4
Haverhill, MA 01832-3661
Phone
(978) 914-6333
Fax
(978) 914-6332
NPI assigned
Jan 14, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2020

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

Authorized official

Name
Dr. Chitrang B Patel, DMD
Title
Owner
Phone
(978) 941-6333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

400 Lowell Ave Ste 4
Haverhill, MA 01832-3661

Mailing address

400 Lowell Ave Ste 4
Haverhill, MA 01832-3661
Phone (978) 914-6333

Other identifiers 1

IdentifierTypeStateIssuer
110100100AMedicaidMA

Other names 1

  • Excel Dental Doing business as

National Provider Directory

National Provider Directory

Locations

400 Lowell Ave
Ste 4
Haverhill, MA 01832
Phone (978) 914-6333

Practitioners & affiliated clinicians

Practitioners 5

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": "1578960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578960000000",
    "number": "1265072524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 LOWELL AVE STE 4",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018323661",
            "telephone_number": "978-914-6333",
            "fax_number": "978-914-6332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 LOWELL AVE STE 4",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018323661",
            "telephone_number": "978-914-6333",
            "fax_number": "978-914-6332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL DENTAL OF HAVERHILL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-14",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "CHITRANG",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-941-6333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110100100A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Excel Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Haverhill, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.