Concord Center Dental LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DN1857208 Issued in MA

Legal business name

CONCORD CENTER DENTAL LLC

Practice address

136 Sudbury Rd
Concord, MA 01742-2422

Phone

(978) 369-5700

NPI assigned

Jul 7, 2016

Last updated

Jul 26, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John Madden, DMDNPI 1689841884

Title

Dentist / Owner

Phone

(978) 369-5700

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Madden, DMD

  • Dentist
  • Boston, MA
  • NPI 1689841884
  NPD (past) Authorized official
• Dana A Booth, DMD

  • General Practice Dentistry
  • Concord, MA
  • NPI 1619998432
  NPD (past)

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

{
    "created_epoch": "1467849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469491200000",
    "number": "1366894941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 SUDBURY RD",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017422422",
            "telephone_number": "978-369-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 SUDBURY RD",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017422422",
            "telephone_number": "978-369-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCORD CENTER DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-07",
        "last_updated": "2016-07-26",
        "status": "A",
        "authorized_official_last_name": "MADDEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "DENTIST / OWNER",
        "authorized_official_telephone_number": "978-369-5700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MA",
            "license": "DN1857208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI PROVIDER NUMBER",
            "identifier": "1689841884",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Concord and Lexington Oral Surgery Associates, LLC
• Concord Cardiology
• Concord Cardiology, PC
• Concord Center Acupuncture
• Concord Center Acupuncture and Herbal Medicine LLC
• Concord Central Dental (ILove Dental Care)
• Concord Children's Dental Associates
• Concord Chiropractic Inc.
• Concord Comprehensive Neuropsychological Services
• Concord Counseling Associates

• Dental Clinic/Center in Concord, MA
• Providers in Concord, MA by specialty
• Dental Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2016; 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.