Organization Active NPI

Holyoke Dental Associates, Inc.

  • General Practice Dentistry
  • Holyoke, MA
National Provider Identifier
1306805932
Registry record updated Sep 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10340 Issued in MA
Legal business name
HOLYOKE DENTAL ASSOCIATES, INC.
Practice address
610 South St
Holyoke, MA 01040-3638
Phone
(413) 533-8378
Fax
(413) 534-3989
NPI assigned
Mar 22, 2006
Last updated
Sep 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2008

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

Authorized official

Name
Dr. Robert J Liptak, D.M.D.NPI 1275670218
Title
Secretary-Treasurer
Phone
(413) 533-8378

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
General Practice Dentistry 1223G0001X 10340 MA Primary

Addresses

Primary practice location

610 South St
Holyoke, MA 01040-3638

Mailing address

610 South St
Holyoke, MA 01040-3638
Phone (413) 533-8378

Other identifiers 1

IdentifierTypeStateIssuer
9728643MedicaidMA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221436800000",
    "number": "1306805932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 SOUTH ST",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010403638",
            "telephone_number": "413-533-8378",
            "fax_number": "413-534-3989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 SOUTH ST",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010403638",
            "telephone_number": "413-533-8378",
            "fax_number": "413-534-3989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLYOKE DENTAL ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-22",
        "last_updated": "2008-09-15",
        "status": "A",
        "authorized_official_last_name": "LIPTAK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SECRETARY-TREASURER",
        "authorized_official_telephone_number": "413-533-8378",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "10340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9728643",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Holyoke, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.