Angel Ray PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ANGEL RAY PC

Practice address

46 Farnsworth St
Boston, MA 02210-1211

Phone

(617) 259-1100

NPI assigned

Mar 31, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Divya Bhargava, D.M.DNPI 1184740441

Title

Director

Phone

(781) 492-8429

Specialties & licenses 1

Addresses

Electronic endpoints 2

Tax ID family

Angel Ray PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Angel Ray PC

  • General Practice Dentistry
  • Boston, MA
  • NPI 1285374835
  NPD tax ID
• Angel Ray PC

  • General Practice Dentistry
  • North Reading, MA
  • NPI 1770470635
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Divya Bhargava, D.M.D.

  • Dentist
  • New York, NY
  • NPI 1184740441

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1648684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648684800000",
    "number": "1417697046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 TEMPLE RD",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024827010",
            "telephone_number": "781-492-8429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 FARNSWORTH ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022101211",
            "telephone_number": "617-259-1100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 Staniford St Ste 303",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021142542",
            "country_code": "US",
            "telephone_number": "617-606-6420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ANGEL RAY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-31",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A",
        "authorized_official_last_name": "BHARGAVA",
        "authorized_official_first_name": "DIVYA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "781-492-8429",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.dentalpartnersofboston.com",
            "affiliation": "N",
            "endpointDescription": "company website",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "health info",
            "address_1": "46 Farnsworth St",
            "city": "Boston",
            "state": "MA",
            "country_code": "US",
            "postal_code": "022101211",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.dentalpartnersofboston.com",
            "affiliation": "N",
            "endpointDescription": "company website",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "health info",
            "address_1": "50 Staniford St Ste 303",
            "city": "Boston",
            "state": "MA",
            "country_code": "US",
            "postal_code": "021142542",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Samuel Peter Ang, MD
• Kiana Zerzura Angalia
• Angel Creative Solutions for Healthcare
• Avital Angel Korman, MD
• Angel Ray PC
• Angel Reed, LLC
• Althea Angel, DMD
• Sophia Morfea Angelides, MD
• Asimenia Angelidou, M.D., PH.D.
• Erin Angelillo, RD, LDN

• General Practice Dentistry in Boston, MA
• Providers in Boston, 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 Mar 31, 2022; 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.