Methuen Family Dental LLC.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19823 Issued in MA

Legal business name

METHUEN FAMILY DENTAL LLC.

Practice address

460 Broadway
Methuen, MA 01844-2052

Phone

(978) 686-5231

Fax

(978) 682-2736

NPI assigned

Jun 4, 2007

Last updated

Aug 22, 2020By 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. Deepa Ananthanarayanan., DMD

Title

Manager

Phone

(978) 686-5231

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396947081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 BROADWAY",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018442052",
            "telephone_number": "978-686-5231",
            "fax_number": "978-682-2736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 BROADWAY",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018442052",
            "telephone_number": "978-686-5231",
            "fax_number": "978-682-2736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METHUEN FAMILY DENTAL LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANANTHANARAYANAN.",
        "authorized_official_first_name": "DEEPA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "978-686-5231",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "19823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kalina P Mesquita
• Ryan James Messier, RN
• Methuen Assisted Living, LP (Methuen Village at Riverwalk Park)
• Methuen Chiropractic Associates, PLLC
• Methuen Family Chiropractic
• Methuen Oral Surgery Associates, P.C.
• Methuen Pediatric Therapy LLC (Developmental Testing of New England)
• Methuen Pediatric Therapy LLC
• Methuen Physical Therapy
• Methuen Podiatry Associates LLP

• General Practice Dentistry in Methuen, MA
• Providers in Methuen, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.