NPIMap

Organization Active NPI

Union Dental Randolph LLC

  • Dentist
  • Randolph, MA
National Provider Identifier
1306203971
Registry record updated Jan 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN1856286 Issued in MA
Legal business name
UNION DENTAL RANDOLPH LLC
Practice address
1110 N Main St
Randolph, MA 02368-2132
Phone
(781) 963-9200
NPI assigned
Jan 26, 2016
Organization subpart
Yes
Parent organization
TONY TONG PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 26, 2016

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

Authorized official

Name
Dr. Tony Haoyu TongNPI 1457796484
Title
President
Phone
(617) 888-4672

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DN1856286 MA Primary

Addresses

Primary practice location

1110 N Main St
Randolph, MA 02368-2132

Mailing address

117 Sherman Rd
Chestnut Hill, MA 02467-3181
Phone (617) 888-4672

National Provider Directory

National Provider Directory

Locations

1110 N Main St
Randolph, MA 02368
Phone (617) 462-8728

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": "1453766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453766400000",
    "number": "1306203971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 SHERMAN RD",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024673181",
            "telephone_number": "617-888-4672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 N MAIN ST",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023682132",
            "telephone_number": "781-963-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNION DENTAL RANDOLPH LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TONY TONG PC",
        "enumeration_date": "2016-01-26",
        "last_updated": "2016-01-26",
        "status": "A",
        "authorized_official_last_name": "TONG",
        "authorized_official_first_name": "TONY",
        "authorized_official_middle_name": "HAOYU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-888-4672",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1856286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Randolph, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2016; 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.