NPIMap

Organization Active NPI

Danvers Dental Wellness

  • Dentist
  • Danvers, MA
National Provider Identifier
1306004239
Registry record updated May 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
16547 Issued in MA
Legal business name
DANVERS DENTAL WELLNESS
Practice address
92 High St
Danvers, MA 01923-3130
Phone
(978) 777-5200
NPI assigned
May 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2008

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

Authorized official

Name
Mr. Michael Phillips
Title
Secretary
Phone
(978) 777-5200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 16547 MA Primary

Addresses

Primary practice location

92 High St
Danvers, MA 01923-3130

Mailing address

92 High St
Danvers, MA 01923-3130
Phone (978) 777-5200

Other names 1

  • Dentists at 92 High Street PC Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1211932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211932800000",
    "number": "1306004239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 HIGH ST",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019233130",
            "telephone_number": "978-777-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 HIGH ST",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019233130",
            "telephone_number": "978-777-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANVERS DENTAL WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-28",
        "last_updated": "2008-05-28",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "978-777-5200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MA",
            "license": "16547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dentists at 92 High Street PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Danvers, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.