Organization Active NPI

DRS Biondo Foley Dental Group LLC

  • General Practice Dentistry
  • Wilmington, MA
National Provider Identifier
1295847895
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
19526 Issued in MA
Legal business name
DRS BIONDO FOLEY DENTAL GROUP LLC
Practice address
188 Main St
200
Wilmington, MA 01887-2046
Phone
(978) 658-8800
Fax
(978) 658-8852
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

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

Authorized official

Name
Mrs. Michelle Merrill
Title
Dental Assistant
Phone
(978) 658-8800

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 19526 MA Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 20023 MA

Addresses

Primary practice location

188 Main St
200
Wilmington, MA 01887-2046

Mailing address

188 Main St
200
Wilmington, MA 01887-2046
Phone (978) 658-8800

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1295847895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 MAIN ST",
            "address_2": "200",
            "city": "WILMINGTON",
            "state": "MA",
            "postal_code": "018872046",
            "telephone_number": "978-658-8800",
            "fax_number": "978-658-8852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 MAIN ST",
            "address_2": "200",
            "city": "WILMINGTON",
            "state": "MA",
            "postal_code": "018872046",
            "telephone_number": "978-658-8800",
            "fax_number": "978-658-8852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS BIONDO FOLEY DENTAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "MERRILL",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "DENTAL ASSISTANT",
        "authorized_official_telephone_number": "978-658-8800",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "19526",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "20023",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; 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.