Organization Active NPI

Chelmsford Dental Associates

  • General Practice Dentistry
  • Chelmsford, MA
National Provider Identifier
1275753741
Registry record updated Sep 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12888 Issued in MA
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, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2007

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

Authorized official

Name
Dr. Daniel Lawrence Fadjo, DDSNPI 1255536074
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)CodeLicenseStatePrimary
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 Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.