NPIMap

Organization Active NPI

Bicentennial Dental P.C.

  • General Practice Dentistry
  • Springfield, MA
National Provider Identifier
1336273275
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
20864 Issued in MA
Legal business name
BICENTENNIAL DENTAL P.C.
Practice address
275 Bicentennial Hwy
Suite 275
Springfield, MA 01118-1900
Phone
(413) 782-6777
NPI assigned
Mar 15, 2007
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
Dr. Dara Darabi, D.D.S.
Title
President
Phone
(413) 782-6777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 20864 MA Primary

Addresses

Primary practice location

275 Bicentennial Hwy
Suite 275
Springfield, MA 01118-1900

Mailing address

275 Bicentennial Hwy
Suite 275
Springfield, MA 01118-1900
Phone (413) 782-6777

National Provider Directory

National Provider Directory

Locations

275 Bicentennial Hwy
Ste 275
Springfield, MA 01118
Phone (413) 782-6777

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336273275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 BICENTENNIAL HWY",
            "address_2": "SUITE 275",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011181900",
            "telephone_number": "413-782-6777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 BICENTENNIAL HWY",
            "address_2": "SUITE 275",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011181900",
            "telephone_number": "413-782-6777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BICENTENNIAL DENTAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DARABI",
        "authorized_official_first_name": "DARA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "413-782-6777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "20864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, 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.