NPIMap

Organization Active NPI

Endodontic Associates of Lexington

  • Endodontics
  • Lexington, MA
National Provider Identifier
1427349372
Registry record updated Apr 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
16260 Issued in MA
Legal business name
ENDODONTIC ASSOCIATES OF LEXINGTON
Practice address
33 Bedford St
Suite 15
Lexington, MA 02420-4319
Phone
(781) 862-9222
NPI assigned
Apr 27, 2011
Last updated
Apr 27, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2011

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

Authorized official

Name
Dr. Elisa Fulton, DMDNPI 1346360179
Title
Head Assoc
Phone
(781) 760-4928

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 16260 MA Primary

Addresses

Primary practice location

33 Bedford St
Suite 15
Lexington, MA 02420-4319

Mailing address

33 Bedford St
Suite 15
Lexington, MA 02420-4319

National Provider Directory

National Provider Directory

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": "1303862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303862400000",
    "number": "1427349372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 BEDFORD ST",
            "address_2": "SUITE 15",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024204319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 BEDFORD ST",
            "address_2": "SUITE 15",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024204319",
            "telephone_number": "781-862-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDODONTIC ASSOCIATES OF LEXINGTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-27",
        "last_updated": "2011-04-27",
        "status": "A",
        "authorized_official_last_name": "FULTON",
        "authorized_official_first_name": "ELISA",
        "authorized_official_title_or_position": "HEAD ASSOC",
        "authorized_official_telephone_number": "781-760-4928",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "MA",
            "license": "16260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2011; 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.