NPIMap

Organization Active NPI

Lennon Street Dental Associates PLLC

  • Dentist
  • Gardner, MA
National Provider Identifier
1396120689
Registry record updated Jul 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
13152 Issued in MA
Legal business name
LENNON STREET DENTAL ASSOCIATES PLLC
Practice address
39 Lennon St
Gardner, MA 01440-3907
Phone
(978) 632-5502
Fax
(978) 632-0964
NPI assigned
Jul 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2015

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

Authorized official

Name
Harvey Apotheker, DMDNPI 1073534020
Title
Dentist
Phone
(978) 632-5502

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 13152 MA Primary

Addresses

Primary practice location

39 Lennon St
Gardner, MA 01440-3907

Mailing address

39 Lennon St
Gardner, MA 01440-3907
Phone (978) 632-5502

National Provider Directory

National Provider Directory

Locations

39 Lennon St
Gardner, MA 01440
Phone (978) 632-5502

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": "1438041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438041600000",
    "number": "1396120689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 LENNON ST",
            "city": "GARDNER",
            "state": "MA",
            "postal_code": "014403907",
            "telephone_number": "978-632-5502",
            "fax_number": "978-632-0964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 LENNON ST",
            "city": "GARDNER",
            "state": "MA",
            "postal_code": "014403907",
            "telephone_number": "978-632-5502",
            "fax_number": "978-632-0964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LENNON STREET DENTAL ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-28",
        "last_updated": "2015-07-28",
        "status": "A",
        "authorized_official_last_name": "APOTHEKER",
        "authorized_official_first_name": "HARVEY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "978-632-5502",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MA",
            "license": "13152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardner, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2015; 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.