Organization Active NPI

Dental 14a PC

  • General Practice Dentistry
  • Cambridge, MA
National Provider Identifier
1306501846
Registry record updated Oct 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DENTAL 14A PC
Practice address
14 Pleasant St Ste 300
Cambridge, MA 02139-3212
Phone
(617) 945-0150
NPI assigned
Oct 31, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2021

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

Authorized official

Name
Dr. Ernest Yazigi, DMD
Title
Owner
Phone
(617) 767-7775

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

14 Pleasant St Ste 300
Cambridge, MA 02139-3212

Mailing address

14 Pleasant St Ste 300
Cambridge, MA 02139-3212
Phone (617) 945-0150

National Provider Directory

National Provider Directory

Locations

14 Pleasant St
Ste 300
Cambridge, MA 02139
Phone (617) 945-0150

NPI Registry JSON

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

{
    "created_epoch": "1635638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635638400000",
    "number": "1306501846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 PLEASANT ST STE 300",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021393212",
            "telephone_number": "617-945-0150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 PLEASANT ST STE 300",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021393212",
            "telephone_number": "617-945-0150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL 14A PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-31",
        "last_updated": "2021-10-31",
        "certification_date": "2021-10-31",
        "status": "A",
        "authorized_official_last_name": "YAZIGI",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-767-7775",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "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 Oct 31, 2021; 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.