Shield Pediatric Dentistry Inc

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

SHIELD PEDIATRIC DENTISTRY INC

Practice address

683 State Rd
Westport, MA 02790-2848

Phone

(617) 548-6717

NPI assigned

Nov 28, 2018

Last updated

Nov 28, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Daniel Gonzalez, DMDNPI 1326428863

Title

Owner

Phone

(617) 548-6717

Specialties & licenses 3

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Daniel Gonzalez, D.M.D

  • Pediatric Dentistry
  • Fall River, MA
  • NPI 1326428863
  Authorized official Same address or phone

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

{
    "created_epoch": "1543363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543363200000",
    "number": "1396215778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "683 STATE RD",
            "city": "WESTPORT",
            "state": "MA",
            "postal_code": "027902848",
            "telephone_number": "617-548-6717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "683 STATE RD",
            "city": "WESTPORT",
            "state": "MA",
            "postal_code": "027902848",
            "telephone_number": "617-548-6717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIELD PEDIATRIC DENTISTRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-28",
        "last_updated": "2018-11-28",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-548-6717",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ricardo L Sanchez, M.D., M.P.H.
• Deborah L Schappell, MD
• Monika S Schuler
• Semya Enterprises, Inc. (Home Helpers)
• Kyle Sequeira, PHARMD
• Barbara Sarah Smith, MSW, LICSW
• Shandel Corin Soderstrom, PHARMD
• Southcoast Physicians Group, Inc.
• Diane Souza, LPN
• Conor Chiropractic Sowersby, DC

• Pediatric Dentistry in Westport, MA
• Providers in Westport, MA by specialty
• Pediatric Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2018; 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.