NPIMap

Organization Active NPI

Hanover Orthodontics, P.C.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Hanover, MA
National Provider Identifier
1306054366
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
17519 Issued in MA
Legal business name
HANOVER ORTHODONTICS, P.C.
Practice address
235 Hanover St
Hanover, MA 02339-2208
Phone
(781) 826-3900
NPI assigned
May 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Domenic Anthony Mazzocco, D.M.D.NPI 1457435083
Title
Dentist
Phone
(781) 826-3900

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
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 17519 MA Primary

Addresses

Primary practice location

235 Hanover St
Hanover, MA 02339-2208

Mailing address

235 Hanover St
Hanover, MA 02339-2208
Phone (781) 826-3900

National Provider Directory

National Provider Directory

Locations

235 Hanover St
Hanover, MA 02339
Phone (781) 826-3900

Practitioners & affiliated clinicians

Practitioners 1

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": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306054366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 HANOVER ST",
            "city": "HANOVER",
            "state": "MA",
            "postal_code": "023392208",
            "telephone_number": "781-826-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 HANOVER ST",
            "city": "HANOVER",
            "state": "MA",
            "postal_code": "023392208",
            "telephone_number": "781-826-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANOVER ORTHODONTICS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAZZOCCO",
        "authorized_official_first_name": "DOMENIC",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "781-826-3900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MA",
            "license": "17519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanover, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.