Cambridgeport Dental LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

CAMBRIDGEPORT DENTAL LLC

Practice address

10 Magazine St
Suite D
Cambridge, MA 02139-3391

Phone

(617) 431-5999

NPI assigned

May 26, 2015

Organization subpart

No

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

Authorized official

Name

Mara L. Green, DMD

Title

Owner

Phone

(617) 431-5999

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1432598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432598400000",
    "number": "1285013052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MAGAZINE ST",
            "address_2": "SUITE D",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021393391",
            "telephone_number": "617-431-5999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MAGAZINE ST",
            "address_2": "SUITE D",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021393391",
            "telephone_number": "617-431-5999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMBRIDGEPORT DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-26",
        "last_updated": "2015-05-26",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "MARA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-431-5999",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cambridge Public Health Commission/Dba/Cambridge Health Alliance
• Cambridge Racquetball Inc
• Cambridge Sest Ed
• Cambridge TMS, Inc. (Cambridge Biotherapies)
• Cambridge Urological Associates, Inc.
• Rachelle S Camille
• Linda J Camlin, PH.D.
• Carol Cammon, RN
• Jane Ann Campbell-Villarreal, RN
• Conor Ross Campbell, D.C.

• Dentist in Cambridge, MA
• Providers in Cambridge, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.