Organization Active NPI

Jfs2Dmd99Pc

  • Dentist
  • Ipswich, MA
National Provider Identifier
1316444540
Registry record updated Aug 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
JFS2DMD99PC
Practice address
130 County Rd
Ipswich, MA 01938-2550
Phone
(978) 356-0602
Fax
(978) 356-8479
NPI assigned
Apr 13, 2018
Last updated
Aug 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2018

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

Authorized official

Name
Dr. James F Sorrento II, DMDNPI 1154436095
Title
Owner/President
Phone
(978) 356-0602

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X MA Primary

Addresses

Primary practice location

130 County Rd
Ipswich, MA 01938-2550

Mailing address

130 County Rd
Ipswich, MA 01938-2550
Phone (978) 356-0602

Other identifiers 1

IdentifierTypeStateIssuer
043468714OtherMAGENERAL DENTIST

National Provider Directory

National Provider Directory

Locations

130 County Rd
Ipswich, MA 01938
Phone (978) 356-1192

Practitioners & affiliated clinicians

Practitioners 1

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": "1523577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1316444540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 COUNTY RD",
            "city": "IPSWICH",
            "state": "MA",
            "postal_code": "019382550",
            "telephone_number": "978-356-0602",
            "fax_number": "978-356-8479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 COUNTY RD",
            "city": "IPSWICH",
            "state": "MA",
            "postal_code": "019382550",
            "telephone_number": "978-356-0602",
            "fax_number": "978-356-8479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JFS2DMD99PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-13",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "SORRENTO",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "978-356-0602",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GENERAL DENTIST",
            "identifier": "043468714",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ipswich, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; 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.