Organization Active NPI

Rockland Family Dentistry

  • Dental Clinic/Center
  • Rockland, ME
National Provider Identifier
1306489257
Registry record updated Oct 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ROCKLAND FAMILY DENTISTRY
Practice address
19 Summer St
Rockland, ME 04841-2917
Phone
(732) 766-4865
NPI assigned
Oct 23, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2019

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

Authorized official

Name
Dr. Chandni Mahindra Mahajan, DDS
Title
Ceo
Phone
(732) 766-4865

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

19 Summer St
Rockland, ME 04841-2917

Mailing address

19 Summer St
Rockland, ME 04841-2917
Phone (732) 766-4865

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.drdavidtheriault.com Direct

National Provider Directory

National Provider Directory

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": "1571788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571788800000",
    "number": "1306489257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 SUMMER ST",
            "city": "ROCKLAND",
            "state": "ME",
            "postal_code": "048412917",
            "telephone_number": "732-766-4865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 SUMMER ST",
            "city": "ROCKLAND",
            "state": "ME",
            "postal_code": "048412917",
            "telephone_number": "732-766-4865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKLAND FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-23",
        "last_updated": "2019-10-23",
        "status": "A",
        "authorized_official_last_name": "MAHAJAN",
        "authorized_official_first_name": "CHANDNI",
        "authorized_official_middle_name": "MAHINDRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "732-766-4865",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.drdavidtheriault.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "19 Summer St",
            "city": "Rockland",
            "state": "ME",
            "country_code": "US",
            "postal_code": "048412917",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rockland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; 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.