NPIMap

Organization Active NPI

Donna M. Ponte Pereira, DMD, LLC

  • Periodontics
  • Cambridge, MA
National Provider Identifier
1295971992
Registry record updated Dec 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
17461 Issued in MA
Legal business name
DONNA M. PONTE PEREIRA, DMD, LLC
Practice address
826 Cambridge St
Cambridge, MA 02141-1402
Phone
(617) 492-7626
Fax
(617) 492-7629
NPI assigned
Dec 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2008

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

Authorized official

Name
Dr. Donna Marie Ponte Pereira, DMD
Title
President
Phone
(617) 492-7626

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X 17461 MA Primary

Addresses

Primary practice location

826 Cambridge St
Cambridge, MA 02141-1402

Mailing address

825 Cambridge St
Cambridge, MA 02141-1429
Phone (617) 492-7626

National Provider Directory

National Provider Directory
Tax ID family
Donna M Ponte Pereira DMD LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

826 Cambridge St
Cambridge, MA 02141
Phone (617) 492-7626

NPI Registry JSON

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

{
    "created_epoch": "1230595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230595200000",
    "number": "1295971992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 CAMBRIDGE ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021411429",
            "telephone_number": "617-492-7626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 CAMBRIDGE ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021411402",
            "telephone_number": "617-492-7626",
            "fax_number": "617-492-7629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONNA M. PONTE PEREIRA, DMD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-30",
        "last_updated": "2008-12-30",
        "status": "A",
        "authorized_official_last_name": "PONTE PEREIRA",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-492-7626",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "MA",
            "license": "17461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.