NPIMap

Organization Active NPI

Ivana Adamov DDS, PC

  • General Practice Dentistry
  • Quincy, MA
National Provider Identifier
1295024073
Registry record updated Apr 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN21465 Issued in MA
Legal business name
IVANA ADAMOV DDS, PC
Practice address
111 Willard St,
Suite 1B
Quincy, MA 02169
Phone
(617) 471-8640
NPI assigned
Apr 1, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2011

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

Authorized official

Name
Dr. Ivana Adamov, DDSNPI 1922163484
Title
Dentist
Phone
(617) 471-8640

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: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X DN21465 MA Primary

Addresses

Primary practice location

111 Willard St,
Suite 1B
Quincy, MA 02169

Mailing address

111 Willard St,
Suite 1B
Quincy, MA 02169
Phone (617) 471-8640

National Provider Directory

National Provider Directory

Locations

111 Willard St
Ste 1B
Quincy, MA 02169
Phone (617) 471-8640

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": "1301616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301616000000",
    "number": "1295024073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 WILLARD ST,",
            "address_2": "SUITE 1B",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "02169",
            "telephone_number": "617-471-8640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 WILLARD ST,",
            "address_2": "SUITE 1B",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "02169",
            "telephone_number": "617-471-8640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVANA ADAMOV DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-01",
        "last_updated": "2011-04-01",
        "status": "A",
        "authorized_official_last_name": "ADAMOV",
        "authorized_official_first_name": "IVANA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "617-471-8640",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN21465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.