Richard F Traversy Jr. DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

16967 Issued in MA

Legal business name

RICHARD F TRAVERSY JR. DDS PC

Practice address

125 Main St
Peabody, MA 01960-5639

Phone

(978) 532-1630

Fax

(978) 532-5188

NPI assigned

Dec 11, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Richard F Traversy Jr., DDSNPI 1770594905

Title

Owner

Phone

(978) 532-1630

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Richard Francis Traversy Jr., DDS

  • Endodontics
  • Peabody, MA
  • NPI 1770594905
  NPD (past) Authorized official
• Robert G Stein, D.M.D.

  • General Practice Dentistry
  • Peabody, MA
  • NPI 1366573362
  NPD (past)

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

{
    "created_epoch": "1449792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449792000000",
    "number": "1366817629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 MAIN ST",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019605639",
            "telephone_number": "978-532-1630",
            "fax_number": "978-532-5188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 MAIN ST",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019605639",
            "telephone_number": "978-532-1630",
            "fax_number": "978-532-5188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD F TRAVERSY JR. DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-11",
        "last_updated": "2015-12-11",
        "status": "A",
        "authorized_official_last_name": "TRAVERSY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-532-1630",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "16967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Reyes Mendez
• Brenda I Reyes
• Elizabeth Reynolds, MD
• Mary E. Reynolds, RNCS
• Ruth Krigbaum Rich, PSY.D.
• Mariana Furbino Richards, RPH
• Rachel M Richards, MS, APRN, BC
• Jennifer Nicole Richardson, FNP
• Anne Barrett Richtmyer, M.S., CFY-SLP
• Shelby Ridley

• General Practice Dentistry in Peabody, MA
• Providers in Peabody, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2015; 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.