NPIMap

Organization Active NPI

Dental Smiles PC

  • General Practice Dentistry
  • Lawrence, MA
National Provider Identifier
1356480800
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
19344 Issued in MA
Legal business name
DENTAL SMILES PC
Practice address
15 Lawrence St
Lawrence, MA 01840-1413
Phone
(978) 685-4466
Fax
(978) 689-8376
NPI assigned
Feb 5, 2007
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
Radhika Goli, DMD
Title
President
Phone
(978) 685-4466

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 19344 MA Primary

Addresses

Primary practice location

15 Lawrence St
Lawrence, MA 01840-1413

Mailing address

15 Lawrence St
Lawrence, MA 01840-1413
Phone (978) 685-4466

National Provider Directory

National Provider Directory

Locations

15 Lawrence St
Lawrence, MA 01840
Phone (978) 685-4466

Practitioners & affiliated clinicians

Practitioners 2

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": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356480800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 LAWRENCE ST",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018401413",
            "telephone_number": "978-685-4466",
            "fax_number": "978-689-8376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 LAWRENCE ST",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018401413",
            "telephone_number": "978-685-4466",
            "fax_number": "978-689-8376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL SMILES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOLI",
        "authorized_official_first_name": "RADHIKA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-685-4466",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "19344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, 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.