Organization Active NPI

Dental Group Associates of Massachusetts, PC

  • Dental Clinic/Center
  • Methuen, MA
National Provider Identifier
1427624436
Registry record updated Jun 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DENTAL GROUP ASSOCIATES OF MASSACHUSETTS, PC
Practice address
466 Lowell St
Methuen, MA 01844-2285
Phone
(978) 681-5058
Fax
(978) 681-5058
NPI assigned
Jun 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2021

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

Authorized official

Name
Christine Manndel, EFDA
Title
Procurement/Credentialing
Phone
(484) 955-2193

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

466 Lowell St
Methuen, MA 01844-2285

Mailing address

466 Lowell St
Methuen, MA 01844-2285
Phone (978) 681-5058

Other names 1

  • Methuen Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

466 Lowell St
Methuen, MA 01844
Phone (978) 681-5058

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1622505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622505600000",
    "number": "1427624436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "466 LOWELL ST",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018442285",
            "telephone_number": "978-681-5058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "466 LOWELL ST",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018442285",
            "telephone_number": "978-681-5058",
            "fax_number": "978-681-5058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL GROUP ASSOCIATES OF MASSACHUSETTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-01",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A",
        "authorized_official_last_name": "MANNDEL",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "PROCUREMENT/CREDENTIALING",
        "authorized_official_telephone_number": "484-955-2193",
        "authorized_official_credential": "EFDA"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Methuen Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Methuen, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; 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.