Childrens Dentistry and Orthodontics of Chicopee 2 LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

CHILDRENS DENTISTRY AND ORTHODONTICS OF CHICOPEE 2 LLC

Practice address

21 Bay State Rd
Chicopee, MA 01020-1521

Phone

(413) 437-8300

NPI assigned

Apr 5, 2022

Organization subpart

No

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

Authorized official

Name

Mike Cole

Title

VP Insurance Plan Management

Phone

(727) 424-2990

Specialties & licenses 1

Addresses

Tax ID family

Childrens Dentistry and Orthodontics of Chicopee 2 LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Childrens Dentistry and Orthodontics of Chicopee 2 LLC

  • Dentist
  • Chicopee, MA
  • NPI 1629714431
  NPD tax ID

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649116800000",
    "number": "1437890233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 BAY STATE RD",
            "city": "CHICOPEE",
            "state": "MA",
            "postal_code": "010201521",
            "telephone_number": "413-437-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 BAY STATE RD",
            "city": "CHICOPEE",
            "state": "MA",
            "postal_code": "010201521",
            "telephone_number": "413-437-8300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "747 Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Chicopee",
            "state": "MA",
            "postal_code": "010205022",
            "country_code": "US",
            "telephone_number": "413-503-3700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHILDRENS DENTISTRY AND ORTHODONTICS OF CHICOPEE 2 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-05",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "VP INSURANCE PLAN MANAGEMENT",
        "authorized_official_telephone_number": "727-424-2990"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chicopee Urgent Care, PLLC
• Chicopee Visiting Nurse Association
• Travis Stacin Chicot
• Children'S Dentistry and Orthodontics of Chicopee 1 LLC
• Children'S Dentistry of Chicopee
• Childrens Dentistry and Orthodontics of Chicopee 2 LLC
• Sheena Choquette
• Julia Ewa Chrostowski
• Michael Jongchil Chung, DDS
• Church Street Dental, PC

• Dentist in Chicopee, MA
• Providers in Chicopee, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.