Organization Active NPI

Cathleen E. Wallent, DMD, PC

  • General Practice Dentistry
  • Lawrence, MA
National Provider Identifier
1366757064
Registry record updated Sep 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
17997 Issued in MA
Legal business name
CATHLEEN E. WALLENT, DMD, PC
Practice address
100 Amesbury St
Suite 202
Lawrence, MA 01840-1321
Phone
(978) 682-2276
Fax
(603) 893-5461
NPI assigned
Aug 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2010

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

Authorized official

Name
Ms. Cathleen E. Wallent, DMD, PC
Title
Dentist
Phone
(978) 682-2276

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 17997 MA Primary

Addresses

Primary practice location

100 Amesbury St
Suite 202
Lawrence, MA 01840-1321

Mailing address

100 Amesbury St
Suite 202
Lawrence, MA 01840-1321
Phone (978) 682-2276

Other identifiers 1

IdentifierTypeStateIssuer
30302399MedicaidMA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1282089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284422400000",
    "number": "1366757064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 AMESBURY ST",
            "address_2": "SUITE 202",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018401321",
            "telephone_number": "978-682-2276",
            "fax_number": "603-893-5461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 AMESBURY ST",
            "address_2": "SUITE 202",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018401321",
            "telephone_number": "978-682-2276",
            "fax_number": "603-893-5461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHLEEN E. WALLENT, DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-18",
        "last_updated": "2010-09-14",
        "status": "A",
        "authorized_official_last_name": "WALLENT",
        "authorized_official_first_name": "CATHLEEN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "978-682-2276",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DMD, PC"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "17997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30302399",
            "state": "MA"
        }
    ],
    "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 Sep 14, 2010; 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.