NPIMap

Organization Active NPI

Methuen Smiles LLC

  • General Practice Dentistry
  • Methuen, MA
National Provider Identifier
1366972747
Registry record updated Jun 18, 2017
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Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
21137 Issued in MA
Legal business name
METHUEN SMILES LLC
Practice address
100 Milk St Ste 200
Methuen, MA 01844-4660
Phone
(978) 685-7115
NPI assigned
Jun 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2017

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

Authorized official

Name
Dr. Jyoti Mahajan, D.M.D
Title
Dentist
Phone
(617) 947-0110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 21137 MA Primary

Addresses

Primary practice location

100 Milk St Ste 200
Methuen, MA 01844-4660

Mailing address

16 Stoneybrook Cir
Andover, MA 01810-6408
Phone (617) 947-0110

National Provider Directory

National Provider Directory

Locations

100 Milk St
Ste 200
Methuen, MA 01844
Phone (978) 685-7115

NPI Registry JSON

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

{
    "created_epoch": "1497744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497744000000",
    "number": "1366972747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 STONEYBROOK CIR",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018106408",
            "telephone_number": "617-947-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MILK ST STE 200",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018444660",
            "telephone_number": "978-685-7115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METHUEN SMILES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-18",
        "last_updated": "2017-06-18",
        "status": "A",
        "authorized_official_last_name": "MAHAJAN",
        "authorized_official_first_name": "JYOTI",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "617-947-0110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "21137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Methuen, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2017; 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.