NPIMap

Organization Active NPI

Dininno Family Dental, Inc.

  • General Practice Dentistry
  • Fitchburg, MA
National Provider Identifier
1396916060
Registry record updated Jan 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN1855976 Issued in MA
Legal business name
DININNO FAMILY DENTAL, INC.
Practice address
931 South St
Fitchburg, MA 01420-7019
Phone
(978) 342-8710
NPI assigned
Mar 20, 2008
Last updated
Jan 28, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2016

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

Authorized official

Name
Dr. Nicholas J. Dininno III, DMDNPI 1598026577
Title
President
Phone
(978) 342-8710

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 13917 MA
General Practice Dentistry 1223G0001X DN1855976 MA Primary

Addresses

Primary practice location

931 South St
Fitchburg, MA 01420-7019

Mailing address

931 South St
Fitchburg, MA 01420-7019
Phone (978) 342-8710

Other identifiers 2

IdentifierTypeStateIssuer
110009851AMedicaidMA
110092868AMedicaidMA

National Provider Directory

National Provider Directory

Locations

931 South St
Fitchburg, MA 01420
Phone (978) 342-8710

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1205971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453939200000",
    "number": "1396916060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 SOUTH ST",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014207019",
            "telephone_number": "978-342-8710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 SOUTH ST",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014207019",
            "telephone_number": "978-342-8710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DININNO FAMILY DENTAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-20",
        "last_updated": "2016-01-28",
        "status": "A",
        "authorized_official_last_name": "DININNO",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-342-8710",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "13917",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1855976",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110009851A",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110092868A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fitchburg, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2016; 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.