NPIMap

Organization Active NPI

Locke White Dental Associates LLC

  • General Practice Dentistry
  • Hull, MA
National Provider Identifier
1336157338
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
20769 Issued in MA
Legal business name
LOCKE WHITE DENTAL ASSOCIATES LLC
Practice address
529 Nantasket Ave
Hull, MA 02045
Phone
(781) 925-5100
Fax
(781) 925-9791
NPI assigned
Aug 4, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Stephen A Locke, DMDNPI 1609884618
Title
Dentist Owner
Phone
(781) 925-5100

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 16440 MA
General Practice Dentistry 1223G0001X 9896 MA
General Practice Dentistry 1223G0001X 20769 MA Primary

Addresses

Primary practice location

529 Nantasket Ave
Hull, MA 02045

Mailing address

PO Box 480
529 Nantasket Ave
Hull, MA 02045
Phone (781) 925-5100

Other identifiers 1

IdentifierTypeStateIssuer
9779841MedicaidMA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336157338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 480",
            "address_2": "529 NANTASKET AVE",
            "city": "HULL",
            "state": "MA",
            "postal_code": "02045",
            "telephone_number": "781-925-5100",
            "fax_number": "781-925-9791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 NANTASKET AVE",
            "city": "HULL",
            "state": "MA",
            "postal_code": "02045",
            "telephone_number": "781-925-5100",
            "fax_number": "781-925-9791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOCKE WHITE DENTAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOCKE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "781-925-5100",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "16440",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "9896",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "20769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9779841",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hull, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.