Organization Active NPI

Cohasset Dental Group LLC

  • General Practice Dentistry
  • Cohasset, MA
National Provider Identifier
1295327476
Registry record updated Feb 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
COHASSET DENTAL GROUP LLC
Practice address
12 Parkingway
Cohasset, MA 02025-1708
Phone
(781) 562-3442
NPI assigned
Feb 9, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2021

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

Authorized official

Name
Kerstin Marrama
Title
HR Director
Phone
(781) 562-3442

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

12 Parkingway
Cohasset, MA 02025-1708

Mailing address

500 Chapman St
Canton, MA 02021-2093
Phone (781) 562-3442

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1612828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612828800000",
    "number": "1295327476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 CHAPMAN ST",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "020212093",
            "telephone_number": "781-562-3442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 PARKINGWAY",
            "city": "COHASSET",
            "state": "MA",
            "postal_code": "020251708",
            "telephone_number": "781-562-3442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COHASSET DENTAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-09",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A",
        "authorized_official_last_name": "MARRAMA",
        "authorized_official_first_name": "KERSTIN",
        "authorized_official_title_or_position": "HR DIRECTOR",
        "authorized_official_telephone_number": "781-562-3442"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cohasset, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; 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.