NPIMap

Organization Active NPI

Grateful Dentists

  • General Practice Dentistry
  • Billerica, MA
National Provider Identifier
1346591567
Registry record updated Sep 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
21971 Issued in MA
Legal business name
GRATEFUL DENTISTS
Practice address
662 Boston Rd
Billerica, MA 01821-5318
Phone
(978) 667-2741
NPI assigned
Sep 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2012

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

Authorized official

Name
Dr. Adam DanzigNPI 1952604431
Title
President
Phone
(978) 667-2741

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 21971 MA Primary

Addresses

Primary practice location

662 Boston Rd
Billerica, MA 01821-5318

Mailing address

662 Boston Rd
Billerica, MA 01821-5318

National Provider Directory

National Provider Directory

Locations

662 Boston Rd
Billerica, MA 01821
Phone (978) 667-2741

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1348704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348704000000",
    "number": "1346591567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "662 BOSTON RD",
            "city": "BILLERICA",
            "state": "MA",
            "postal_code": "018215318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "662 BOSTON RD",
            "city": "BILLERICA",
            "state": "MA",
            "postal_code": "018215318",
            "telephone_number": "978-667-2741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRATEFUL DENTISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-27",
        "last_updated": "2012-09-27",
        "status": "A",
        "authorized_official_last_name": "DANZIG",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-667-2741",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "21971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Billerica, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2012; 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.