Organization Active NPI

Terry L. Schrubb DMD PC

  • Dentist
  • Dracut, MA
National Provider Identifier
1396067575
Registry record updated Feb 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
TERRY L. SCHRUBB DMD PC
Practice address
505 Nashua Rd
Dracut, MA 01826-1955
Phone
(978) 957-5733
Fax
(978) 957-1830
NPI assigned
Feb 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2010

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

Authorized official

Name
Jayshree Schrubb
Title
Accounting Specialist
Phone
(978) 957-5733

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary
Dental HygienistGroup: 193200000X MULTI-SPECIALTY GROUP 124Q00000X
Dental AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 126800000X

Addresses

Primary practice location

505 Nashua Rd
Dracut, MA 01826-1955

Mailing address

505 Nashua Rd
Dracut, MA 01826-1955
Phone (978) 957-5733

Other names 1

  • Amerident Dental Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1266278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266278400000",
    "number": "1396067575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 NASHUA RD",
            "city": "DRACUT",
            "state": "MA",
            "postal_code": "018261955",
            "telephone_number": "978-957-5733",
            "fax_number": "978-957-1830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 NASHUA RD",
            "city": "DRACUT",
            "state": "MA",
            "postal_code": "018261955",
            "telephone_number": "978-957-5733",
            "fax_number": "978-957-1830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRY L. SCHRUBB DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-16",
        "last_updated": "2010-02-16",
        "status": "A",
        "authorized_official_last_name": "SCHRUBB",
        "authorized_official_first_name": "JAYSHREE",
        "authorized_official_title_or_position": "ACCOUNTING SPECIALIST",
        "authorized_official_telephone_number": "978-957-5733"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dental Hygienist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "126800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dental Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amerident Dental",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Dracut, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2010; 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.