NPIMap

Organization Active NPI

Dr Dental

  • Dentist
  • Haverhill, MA
National Provider Identifier
1275904682
Registry record updated Oct 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN1857078 Issued in MA
Legal business name
DR DENTAL
Practice address
2 Water St
Haverhill, MA 01830-6229
Phone
(978) 372-1999
NPI assigned
Oct 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2015

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

Authorized official

Name
Alicia Lopez- Casado
Title
Regional Manager
Phone
(978) 372-1999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X DN1857078 MA Primary

Addresses

Primary practice location

2 Water St
Haverhill, MA 01830-6229

Mailing address

2 Water St
Haverhill, MA 01830-6229
Phone (978) 372-1999

Other names 1

  • Water Street family Dental Other name

National Provider Directory

National Provider Directory
Tax ID family
Dr Dental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1444608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444608000000",
    "number": "1275904682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 WATER ST",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018306229",
            "telephone_number": "978-372-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 WATER ST",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018306229",
            "telephone_number": "978-372-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-12",
        "last_updated": "2015-10-12",
        "status": "A",
        "authorized_official_last_name": "LOPEZ- CASADO",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "REGIONAL MANAGER",
        "authorized_official_telephone_number": "978-372-1999"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1857078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Water Street family Dental",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Oct 12, 2015; 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.