Broadway Family Dental PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

20485 Issued in MA

Legal business name

BROADWAY FAMILY DENTAL PC

Practice address

373 Broadway
Chelsea, MA 02150-2809

Phone

(617) 887-0600

NPI assigned

Jan 16, 2007

Organization subpart

No

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

Authorized official

Name

Julia Faigel, DMD

Title

President

Phone

(617) 887-0600

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Basheer Hasan, DMD

  • General Practice Dentistry
  • Chelsea, MA
  • NPI 1437922598
  NPD (past)
• Vaibhav Mahesh Jagad, DMD

  • Pediatric Dentistry
  • Methuen, MA
  • NPI 1659880318

  General Practice

  NPD (past)
• Anjalika KC, DDS

  • Dentist
  • Chelsea, MA
  • NPI 1568136331
  NPD (past)
• Mauni Patel

  • Dentist
  • Chelsea, MA
  • NPI 1184324881
  NPD (past)
• Dhaval Patel, DMD

  • General Practice Dentistry
  • Flower Mound, TX
  • NPI 1588031074
  NPD (past)

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205971200000",
    "number": "1316098155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "373 BROADWAY",
            "city": "CHELSEA",
            "state": "MA",
            "postal_code": "021502809",
            "telephone_number": "617-887-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "373 BROADWAY",
            "city": "CHELSEA",
            "state": "MA",
            "postal_code": "021502809",
            "telephone_number": "617-887-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROADWAY FAMILY DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2008-03-20",
        "status": "A",
        "authorized_official_last_name": "FAIGEL",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-887-0600",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "20485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "X12571",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0203980",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bremen Physical Therapy
• Sean Brewer
• Kayla Brien
• Rene Brimage, LADC II
• Jonathan Samuel Briseno
• Lynne Brodsky, MD
• Amanda Bronson, LICSW
• Clare A Brooks
• Malia Brooks
• Keila Brown

• General Practice Dentistry in Chelsea, MA
• Providers in Chelsea, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.