NPIMap

Organization Active NPI

Wellesley Endodontics PC

  • Dental Clinic/Center
  • Wellesley, MA
National Provider Identifier
1275819211
Registry record updated Oct 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
17718 Issued in MA
Legal business name
WELLESLEY ENDODONTICS PC
Practice address
40 Grove St
Suite 420
Wellesley, MA 02482-7702
Phone
(781) 237-1801
NPI assigned
Oct 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2011

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

Authorized official

Name
Dr. Maryam Shomali, DMD
Title
President
Phone
(781) 237-1801

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 17718 MA Primary

Addresses

Primary practice location

40 Grove St
Suite 420
Wellesley, MA 02482-7702

Mailing address

40 Grove St
Suite 420
Wellesley, MA 02482-7702
Phone (781) 237-1801

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.

NPI Registry JSON

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

{
    "created_epoch": "1319155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319155200000",
    "number": "1275819211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 GROVE ST",
            "address_2": "SUITE 420",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024827702",
            "telephone_number": "781-237-1801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 GROVE ST",
            "address_2": "SUITE 420",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024827702",
            "telephone_number": "781-237-1801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLESLEY ENDODONTICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-21",
        "last_updated": "2011-10-21",
        "status": "A",
        "authorized_official_last_name": "SHOMALI",
        "authorized_official_first_name": "MARYAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-237-1801",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MA",
            "license": "17718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellesley, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2011; 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.