NPIMap

Organization Active NPI

Northern Star Dental Group

  • Dentist
  • Danvers, MA
National Provider Identifier
1376818583
Registry record updated Mar 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN22094 Issued in MA
Legal business name
NORTHERN STAR DENTAL GROUP
Practice address
37 Maple St
Danvers, MA 01923-2851
Phone
(978) 750-9999
NPI assigned
Mar 21, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2012

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

Authorized official

Name
Dr. Marcin Jarmoc, DMD
Title
Vice President
Phone
(617) 331-9544

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X DN22094 MA Primary
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 1223S0112X DN1855540 MA

Addresses

Primary practice location

37 Maple St
Danvers, MA 01923-2851

Mailing address

37 Maple St
Danvers, MA 01923-2851
Phone (978) 750-9999

National Provider Directory

National Provider Directory

Locations

37 Maple St
Danvers, MA 01923
Phone (978) 750-9999

Practitioners & affiliated clinicians

Practitioners 7

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": "1332288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332288000000",
    "number": "1376818583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 MAPLE ST",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019232851",
            "telephone_number": "978-750-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 MAPLE ST",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019232851",
            "telephone_number": "978-750-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN STAR DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-21",
        "last_updated": "2012-03-21",
        "status": "A",
        "authorized_official_last_name": "JARMOC",
        "authorized_official_first_name": "MARCIN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "617-331-9544",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN22094",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MA",
            "license": "DN1855540",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danvers, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2012; 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.