Neponset Valley Oral and Maxillofacial Surgery Associates, PLLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

12548 Issued in MA

Legal business name

NEPONSET VALLEY ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES, PLLC

Practice address

841 Main St
Walpole, MA 02081-2997

Phone

(508) 660-2900

Fax

(508) 660-0134

NPI assigned

Apr 19, 2007

Organization subpart

No

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

Authorized official

Name

Lawrence T Herman, DMD, MDNPI 1942299136

Title

President

Phone

(508) 660-2900

Specialties & licenses 1

Addresses

Other names 2

• Lawrence T. Herman, DMD, PC Former legal business name
• Neponset Valley Oral and Maxillofacial Surgery Associates, LLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 3

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

• Lawrence Thomas Herman, D.M.D., M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Walpole, MA
  • NPI 1942299136
  Medicare reassignment Care Compare group Authorized official
• Kurt Thomas Herman, D.M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Walpole, MA
  • NPI 1093913048
  Medicare reassignment Care Compare group
• Sara Helen Runnels, DMD, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Walpole, MA
  • NPI 1982693172
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632787200000",
    "number": "1376760413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "841 MAIN STREET",
            "city": "WALPOLE",
            "state": "MA",
            "postal_code": "020812997",
            "telephone_number": "508-660-2900",
            "fax_number": "508-660-0134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 MAIN ST",
            "city": "WALPOLE",
            "state": "MA",
            "postal_code": "020812997",
            "telephone_number": "508-660-2900",
            "fax_number": "508-660-0134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEPONSET VALLEY ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A",
        "authorized_official_last_name": "HERMAN",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-660-2900",
        "authorized_official_credential": "DMD, MD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MA",
            "license": "12548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lawrence T. Herman, DMD, PC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Lawrence T. Herman, DMD, PC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Neponset Valley Oral and Maxillofacial Surgery Associates, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Jacquelyn Elizabeth Nardelli, M.S., CCC-SLP
• Raika Nasirullah-Patterson
• Nationwide Sleep Therapy, LLC
• Holly L. Nee, M.S., CGC
• Rosemary Ann Neill
• Neuro Behavioral Center Inc
• Neuro Behavioral Center, LLC
• Nicole Newton
• Meghan Nichols
• Donghyun Noh, DMD

• Oral and Maxillofacial Surgery (Dentist) in Walpole, MA
• Providers in Walpole, MA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.