Organization Active NPI

Taunton Orthodontic Associates, LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Taunton, MA
National Provider Identifier
1396250015
Registry record updated Dec 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
21358 Issued in MA
Legal business name
TAUNTON ORTHODONTIC ASSOCIATES, LLC
Practice address
36 Weir St
Taunton, MA 02780-3916
Phone
(508) 588-6500
Fax
(508) 588-6030
NPI assigned
Dec 4, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2017

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

Authorized official

Name
Dr. Omar Salem, DMD, MSD
Title
Owner
Phone
(508) 588-6500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 21358 MA Primary

Addresses

Primary practice location

36 Weir St
Taunton, MA 02780-3916

Mailing address

450 N Main St
Sharon, MA 02067-1172
Phone (508) 588-6500

National Provider Directory

National Provider Directory

Locations

450 N Main St
Sharon, MA 02067
Phone (617) 823-9079

36 Weir St
Taunton, MA 02780
Phone (508) 588-6500

NPI Registry JSON

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

{
    "created_epoch": "1512345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512345600000",
    "number": "1396250015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 N MAIN ST",
            "city": "SHARON",
            "state": "MA",
            "postal_code": "020671172",
            "telephone_number": "508-588-6500",
            "fax_number": "508-588-6030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 WEIR ST",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027803916",
            "telephone_number": "508-588-6500",
            "fax_number": "508-588-6030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAUNTON ORTHODONTIC ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-04",
        "last_updated": "2017-12-04",
        "status": "A",
        "authorized_official_last_name": "SALEM",
        "authorized_official_first_name": "OMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-588-6500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MSD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MA",
            "license": "21358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taunton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2017; 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.