NPIMap

Organization Active NPI

Kevin B. Terrell, DDS, P.C.

  • Dentist
  • W Springfield, MA
National Provider Identifier
1336283597
Registry record updated Dec 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22222 Issued in MA
Legal business name
KEVIN B. TERRELL, DDS, P.C.
Practice address
367 Memorial Ave
W Springfield, MA 01089-4007
Phone
(413) 263-6616
NPI assigned
Feb 19, 2007
Last updated
Dec 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2008

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

Authorized official

Name
Dr. Kevin B Terrell, DDS
Title
Owner
Phone
(413) 263-6618

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 22222 MA Primary

Addresses

Primary practice location

367 Memorial Ave
W Springfield, MA 01089-4007

Mailing address

367 Memorial Ave
W Springfield, MA 01089-4007
Phone (413) 263-6616

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229644800000",
    "number": "1336283597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "367 MEMORIAL AVE",
            "city": "W SPRINGFIELD",
            "state": "MA",
            "postal_code": "010894007",
            "telephone_number": "413-263-6616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "367 MEMORIAL AVE",
            "city": "W SPRINGFIELD",
            "state": "MA",
            "postal_code": "010894007",
            "telephone_number": "413-263-6616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN B. TERRELL, DDS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-19",
        "last_updated": "2008-12-19",
        "status": "A",
        "authorized_official_last_name": "TERRELL",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "413-263-6618",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "22222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in W Springfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.