NPIMap

Organization Active NPI

John a Fontaine Dba Plaza Family Dental

  • General Practice Dentistry
  • Fitchburg, MA
National Provider Identifier
1376690313
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12695 Issued in MA
Legal business name
JOHN A FONTAINE DBA PLAZA FAMILY DENTAL
Practice address
435 Main St
Suite 2000
Fitchburg, MA 01420-8026
Phone
(978) 343-8380
NPI assigned
Jan 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Dr. John A FontaineNPI 1962424150
Title
Owner
Phone
(978) 343-8380

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 12695 MA Primary

Addresses

Primary practice location

435 Main St
Suite 2000
Fitchburg, MA 01420-8026

Mailing address

435 Main St
Suite 2000
Fitchburg, MA 01420-8026
Phone (978) 343-8380

National Provider Directory

National Provider Directory

Locations

435 Main St
Ste 2000
Fitchburg, MA 01420
Phone (417) 379-2218

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": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1376690313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 MAIN ST",
            "address_2": "SUITE 2000",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014208026",
            "telephone_number": "978-343-8380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 MAIN ST",
            "address_2": "SUITE 2000",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014208026",
            "telephone_number": "978-343-8380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN A FONTAINE DBA PLAZA FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "FONTAINE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-343-8380",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "12695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fitchburg, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.