Active NPI
Terry L. Schrubb DMD PC
- Dentist
- Dracut, MA
National Provider Identifier
1396067575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary | ||
| Dental Hygienist | 124Q00000X | |||
| Dental Assistant | 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
National Provider Directory
National Provider DirectoryNPI 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.