Tara Lindholm Groff, D.M.D., M.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DN1855698 Issued in MA

Practice address

648 Washington St
Hanover, MA 02339-2386

Phone

(781) 312-0444

NPI assigned

Jun 14, 2011

Last updated

Jan 22, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hanover Pediatric Dentistry, PLLC

  • Pediatric Dentistry
  • Hanover, MA
  • NPI 1902313570
  Authorized official Same address or phone

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

{
    "created_epoch": "1308009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516579200000",
    "number": "1285929638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "648 WASHINGTON ST",
            "city": "HANOVER",
            "state": "MA",
            "postal_code": "023392386",
            "telephone_number": "781-312-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "648 WASHINGTON ST",
            "city": "HANOVER",
            "state": "MA",
            "postal_code": "023392386",
            "telephone_number": "781-312-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROFF",
        "first_name": "TARA",
        "middle_name": "LINDHOLM",
        "credential": "D.M.D., M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-14",
        "last_updated": "2018-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1855698",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901021767",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MA",
            "license": "DN1855698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Golden Insight Inc
• Stephen Matthew Goldstein, D.M.D
• Amanda Goodale, P.T.
• Kimberlie M Gordon
• Garrett Goslin, DPT
• Growing Together: Pediatric Feeding and Speech Therapy, LLC
• Guiding Pathways LLC
• Guillemin Counseling LLC
• Patricia M Gustin, NP
• Michaela Hajjar

• Pediatric Dentistry in Hanover, MA
• Providers in Hanover, MA by specialty
• Pediatric Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2018; 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.