NPIMap

Organization Active NPI

Globus Dental Care Center at Mattapan

  • Dentist
  • Mattapan, MA
National Provider Identifier
1427373463
Registry record updated Apr 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
21848 Issued in MA
Legal business name
GLOBUS DENTAL CARE CENTER AT MATTAPAN
Practice address
1634 Blue Hill Ave
Mattapan, MA 02126-2121
Phone
(617) 298-2000
NPI assigned
Apr 1, 2010
Last updated
Apr 1, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2010

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

Authorized official

Name
Ranganayaki Chirumamilla, DMD
Title
President
Phone
(214) 336-9767

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 21848 MA Primary

Addresses

Primary practice location

1634 Blue Hill Ave
Mattapan, MA 02126-2121

Mailing address

1634 Blue Hill Ave
Mattapan, MA 02126-2121
Phone (617) 298-2000

National Provider Directory

National Provider Directory

Locations

1634 Blue Hill Ave
Mattapan, MA 02126
Phone (617) 298-2000

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": "1270080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270080000000",
    "number": "1427373463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1634 BLUE HILL AVE",
            "city": "MATTAPAN",
            "state": "MA",
            "postal_code": "021262121",
            "telephone_number": "617-298-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1634 BLUE HILL AVE",
            "city": "MATTAPAN",
            "state": "MA",
            "postal_code": "021262121",
            "telephone_number": "617-298-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLOBUS DENTAL CARE CENTER AT MATTAPAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-01",
        "last_updated": "2010-04-01",
        "status": "A",
        "authorized_official_last_name": "CHIRUMAMILLA",
        "authorized_official_first_name": "RANGANAYAKI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-336-9767",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "21848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mattapan, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2010; 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.