NPIMap

Organization Active NPI

Central Plaza Family Dental

  • Dentist
  • Lowell, MA
National Provider Identifier
1366620437
Registry record updated Jan 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
20485 Issued in MA
Legal business name
CENTRAL PLAZA FAMILY DENTAL
Practice address
89 Church St
Lowell, MA 01852-2621
Phone
(978) 452-3000
Fax
(978) 452-3003
NPI assigned
Jan 31, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2008

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

Authorized official

Name
Mr. Brett Sigworth
Title
Manager
Phone
(978) 452-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 20485 MA Primary

Addresses

Primary practice location

89 Church St
Lowell, MA 01852-2621

Mailing address

89 Church St
Lowell, MA 01852-2621
Phone (978) 452-3000

National Provider Directory

National Provider Directory

Locations

89 Church St
Lowell, MA 01852
Phone (978) 452-3000

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": "1201737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201737600000",
    "number": "1366620437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 CHURCH ST",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018522621",
            "telephone_number": "978-452-3000",
            "fax_number": "978-452-3003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 CHURCH ST",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018522621",
            "telephone_number": "978-452-3000",
            "fax_number": "978-452-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL PLAZA FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-31",
        "last_updated": "2008-01-31",
        "status": "A",
        "authorized_official_last_name": "SIGWORTH",
        "authorized_official_first_name": "BRETT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "978-452-3000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MA",
            "license": "20485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowell, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.