Organization Active NPI

Awasthy DDS PC

  • General Practice Dentistry
  • Lowell, MA
National Provider Identifier
1376091314
Registry record updated Sep 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN1856175 Issued in MA
Legal business name
AWASTHY DDS PC
Doing business as
PREMIER DENTAL
Practice address
1673 Middlesex St
Lowell, MA 01851-1103
Phone
(978) 888-5317
NPI assigned
Sep 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2016

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

Authorized official

Name
Dr. Vineet AwasthyNPI 1447595327
Title
President
Phone
(978) 888-5317

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DN1856175 MA Primary

Addresses

Primary practice location

1673 Middlesex St
Lowell, MA 01851-1103

Mailing address

15 Cathy Rd
Chelmsford, MA 01824-2006

Other names 1

  • PREMIER DENTAL Doing business as

National Provider Directory

National Provider Directory

Locations

1673 Middlesex St
Lowell, MA 01851
Phone (978) 455-3775

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": "1474329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474329600000",
    "number": "1376091314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 CATHY RD",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018242006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1673 MIDDLESEX ST",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018511103",
            "telephone_number": "978-888-5317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AWASTHY DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-20",
        "last_updated": "2016-09-20",
        "status": "A",
        "authorized_official_last_name": "AWASTHY",
        "authorized_official_first_name": "VINEET",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-888-5317",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1856175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PREMIER DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 20, 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.