Winchester Periodontics,PC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

19240 Issued in FM

Legal business name

WINCHESTER PERIODONTICS,PC

Practice address

955 Main St
Suite 203
Winchester, MA 01890-1961

Phone

(781) 729-9390

NPI assigned

Sep 27, 2007

Last updated

Sep 27, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Kimberly Ann Ardolino

Title

Receptionist

Phone

(781) 729-9390

Specialties & licenses 1

Addresses

Locations

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.

• Robert Mehanna, DMD CAGS

  • Periodontics
  • Winchester, MA
  • NPI 1750489431
  NPD (past)

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

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190851200000",
    "number": "1437346046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 MAIN ST",
            "address_2": "SUITE 203",
            "city": "WINCHESTER",
            "state": "MA",
            "postal_code": "018901961",
            "telephone_number": "781-729-9390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 MAIN ST",
            "address_2": "SUITE 203",
            "city": "WINCHESTER",
            "state": "MA",
            "postal_code": "018901961",
            "telephone_number": "781-729-9390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINCHESTER PERIODONTICS,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-27",
        "last_updated": "2007-09-27",
        "status": "A",
        "authorized_official_last_name": "ARDOLINO",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "RECEPTIONIST",
        "authorized_official_telephone_number": "781-729-9390",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "FM",
            "license": "19240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Winchester OB GYN Associates, PC
• Winchester OB/GYN Associates
• Winchester Optical Inc
• Winchester Oral Surgery PC
• Winchester Orthodontics P.C.
• Winchester Periodontiocs & Implantology
• Winchester Pharmacy Inc.
• Winchester Pharmacy Inc.
• Winchester Physician Associates
• Winchester Physician Associates

• Periodontics in Winchester, MA
• Providers in Winchester, MA by specialty
• Periodontics in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2007; 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.