Organization Active NPI

Carrie B Reddish DMD PC

  • General Practice Dentistry
  • Needham, MA
National Provider Identifier
1265836035
Registry record updated Oct 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
20440M Issued in MA
Legal business name
CARRIE B REDDISH DMD PC
Practice address
1233 Highland Ave
Needham, MA 02492-2697
Phone
(781) 444-2282
NPI assigned
Oct 22, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2014

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

Authorized official

Name
Dr. Carrie Berube Reddsih, DMD
Title
Dentist
Phone
(617) 290-6944

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 20440M MA Primary

Addresses

Primary practice location

1233 Highland Ave
Needham, MA 02492-2697

Mailing address

1233 Highland Ave
Needham, MA 02492-2697
Phone (781) 444-2282

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1413936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413936000000",
    "number": "1265836035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1233 HIGHLAND AVE",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024922697",
            "telephone_number": "781-444-2282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 HIGHLAND AVE",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024922697",
            "telephone_number": "781-444-2282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARRIE B REDDISH DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-22",
        "last_updated": "2014-10-22",
        "status": "A",
        "authorized_official_last_name": "REDDSIH",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_middle_name": "BERUBE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "617-290-6944",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "20440M",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Needham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2014; 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.