NPIMap

Organization Active NPI

Burncoat Family Dental PC

  • Dental Clinic/Center
  • Worcester, MA
National Provider Identifier
1366100091
Registry record updated Nov 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
BURNCOAT FAMILY DENTAL PC
Practice address
363 Burncoat St
Worcester, MA 01606-3130
Phone
(508) 852-0168
NPI assigned
Nov 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2021

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

Authorized official

Name
Dr. Michel Damerji, DDSNPI 1558752428
Title
Doctor/ Owner
Phone
(617) 230-6986

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

363 Burncoat St
Worcester, MA 01606-3130

Mailing address

363 Burncoat St
Worcester, MA 01606-3130
Phone (508) 852-0168

National Provider Directory

National Provider Directory

Locations

363 Burncoat St
Worcester, MA 01606
Phone (508) 852-0168

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": "1638230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638230400000",
    "number": "1366100091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "363 BURNCOAT ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016063130",
            "telephone_number": "508-852-0168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 BURNCOAT ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016063130",
            "telephone_number": "508-852-0168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURNCOAT FAMILY DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-30",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A",
        "authorized_official_last_name": "DAMERJI",
        "authorized_official_first_name": "MICHEL",
        "authorized_official_title_or_position": "DOCTOR/ OWNER",
        "authorized_official_telephone_number": "617-230-6986",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; 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.