Active NPI
Chelmsford Dental Associates
- General Practice Dentistry
- Chelmsford, MA
National Provider Identifier
1275753741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 12888
- Legal business name
- CHELMSFORD DENTAL ASSOCIATES
- Practice address
- 18 North Rd
Chelmsford, MA 01824-2718 - Phone
- (978) 256-2561
- Fax
- (978) 256-5529
- NPI assigned
- Apr 26, 2007
- Last updated
- Sep 19, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Daniel Lawrence Fadjo, DDS
- Title
- Partner Owner
- Phone
- (978) 256-2561
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 12888 | MA | Primary |
Addresses
Primary practice location
18 North Rd
Chelmsford, MA 01824-2718
Mailing address
18 North Rd
Chelmsford, MA 01824-2718
Phone (978) 256-2561
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- General Practice Dentistry
- Chelmsford, MA
- NPI 1255536074
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1190160000000",
"number": "1275753741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 NORTH RD",
"city": "CHELMSFORD",
"state": "MA",
"postal_code": "018242718",
"telephone_number": "978-256-2561",
"fax_number": "978-256-5529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 NORTH RD",
"city": "CHELMSFORD",
"state": "MA",
"postal_code": "018242718",
"telephone_number": "978-256-2561",
"fax_number": "978-256-5529"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHELMSFORD DENTAL ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-26",
"last_updated": "2007-09-19",
"status": "A",
"authorized_official_last_name": "FADJO",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "LAWRENCE",
"authorized_official_title_or_position": "PARTNER OWNER",
"authorized_official_telephone_number": "978-256-2561",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MA",
"license": "12888",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chelmsford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.