Active NPI
Porter Square Family Dental
- General Practice Dentistry
- Cambridge, MA
National Provider Identifier
1417182437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 21641
- Legal business name
- PORTER SQUARE FAMILY DENTAL
- Practice address
- 14 Upland Rd
Cambridge, MA 02140-2712 - Phone
- (617) 547-3934
- NPI assigned
- May 19, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sara Lea Perkins, DMD
- Title
- Dentist
- Phone
- (617) 547-3934
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 21641 | MA | Primary |
| General Practice Dentistry | 1223G0001X | 22266 | MA | |
| Prosthodontics | 1223P0700X | 20292 | MA |
Addresses
Primary practice location
14 Upland Rd
Cambridge, MA 02140-2712
Mailing address
14 Upland Rd
Cambridge, MA 02140-2712
Phone (617) 547-3934
National Provider Directory
National Provider DirectoryLocations
14 Upland Rd
Cambridge, MA 02140
Phone (617) 547-3934
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Cambridge, MA
- NPI 1245960046
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242691200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1242691200000",
"number": "1417182437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 UPLAND RD",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021402712",
"telephone_number": "617-547-3934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 UPLAND RD",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021402712",
"telephone_number": "617-547-3934"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PORTER SQUARE FAMILY DENTAL",
"organizational_subpart": "NO",
"enumeration_date": "2009-05-19",
"last_updated": "2009-05-19",
"status": "A",
"authorized_official_last_name": "PERKINS",
"authorized_official_first_name": "SARA",
"authorized_official_middle_name": "LEA",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "617-547-3934",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "MA",
"license": "21641",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "MA",
"license": "22266",
"primary": false
},
{
"code": "1223P0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Prosthodontics",
"state": "MA",
"license": "20292",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cambridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.