NPIMap

Organization Active NPI

Paul F. Dimattia DDS

  • General Practice Dentistry
  • Lexington, MA
National Provider Identifier
1285817767
Registry record updated Dec 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
13097 Issued in MA
Legal business name
PAUL F. DIMATTIA DDS
Practice address
76 Bedford St
Custance Place, Unit 8
Lexington, MA 02420-4646
Phone
(781) 862-0665
Fax
(781) 861-6628
NPI assigned
Dec 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2007

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

Authorized official

Name
Dr. Paul Francis Dimattia, DDSNPI 1750500807
Title
Proprietor
Phone
(781) 862-0665

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 13097 MA Primary

Addresses

Primary practice location

76 Bedford St
Custance Place, Unit 8
Lexington, MA 02420-4646

Mailing address

76 Bedford St
Custance Place, Unit 8
Lexington, MA 02420-4646
Phone (781) 862-0665

National Provider Directory

National Provider Directory

Locations

76 Bedford St
Ste 8
Lexington, MA 02420
Phone (781) 862-0665

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": "1196985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196985600000",
    "number": "1285817767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 BEDFORD ST",
            "address_2": "CUSTANCE PLACE, UNIT 8",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024204646",
            "telephone_number": "781-862-0665",
            "fax_number": "781-861-6628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 BEDFORD ST",
            "address_2": "CUSTANCE PLACE, UNIT 8",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024204646",
            "telephone_number": "781-862-0665",
            "fax_number": "781-861-6628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL F. DIMATTIA DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-07",
        "last_updated": "2007-12-07",
        "status": "A",
        "authorized_official_last_name": "DIMATTIA",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "781-862-0665",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "13097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.