NPIMap

Organization Active NPI

Mitesh G Brahmbhatt DMD PC

  • Dental Clinic/Center
  • Chicopee, MA
National Provider Identifier
1326273558
Registry record updated May 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DN22114 Issued in MA
Legal business name
MITESH G BRAHMBHATT DMD PC
Doing business as
OUR DENTIST
Practice address
747 Memorial Dr.
Chicopee, MA 01020
Phone
(413) 592-7700
NPI assigned
May 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2009

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

Authorized official

Name
Mitesh Brahmbhatt
Title
President
Phone
(617) 777-4795

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DN22114 MA Primary

Addresses

Primary practice location

747 Memorial Dr.
Chicopee, MA 01020

Mailing address

305 Dutton St
Apt # 326
Lowell, MA 01854-4263

Other names 1

  • OUR DENTIST Doing business as

National Provider Directory

National Provider Directory

Locations

747 Memorial Dr
Chicopee, MA 01020
Phone (413) 217-4455

NPI Registry JSON

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

{
    "created_epoch": "1242604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242604800000",
    "number": "1326273558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 DUTTON ST",
            "address_2": "APT # 326",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018544263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 MEMORIAL DR.",
            "city": "CHICOPEE",
            "state": "MA",
            "postal_code": "01020",
            "telephone_number": "413-592-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITESH G BRAHMBHATT DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-18",
        "last_updated": "2009-05-18",
        "status": "A",
        "authorized_official_last_name": "BRAHMBHATT",
        "authorized_official_first_name": "MITESH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-777-4795"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MA",
            "license": "DN22114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OUR DENTIST",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicopee, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2009; 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.