NPIMap

Organization Active NPI

Avon First Dental LLC

  • Dentist
  • Avon, MA
National Provider Identifier
1447583083
Registry record updated Sep 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
21444 Issued in MA
Legal business name
AVON FIRST DENTAL LLC
Practice address
255 W Main St
Avon, MA 02322-1330
Phone
(508) 583-2761
Fax
(508) 587-8937
NPI assigned
Sep 15, 2009
Last updated
Sep 15, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2009

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

Authorized official

Name
Dr. Farshad Ghobbeh, DMD
Title
Owner
Phone
(508) 583-2761

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 21444 MA Primary

Addresses

Primary practice location

255 W Main St
Avon, MA 02322-1330

Mailing address

255 W Main St
Avon, MA 02322-1330
Phone (508) 583-2761

National Provider Directory

National Provider Directory

Locations

255 W Main St
Avon, MA 02322
Phone (508) 583-2761

Practitioners & affiliated clinicians

Practitioners 4

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": "1252972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252972800000",
    "number": "1447583083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 W MAIN ST",
            "city": "AVON",
            "state": "MA",
            "postal_code": "023221330",
            "telephone_number": "508-583-2761",
            "fax_number": "508-587-8937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 W MAIN ST",
            "city": "AVON",
            "state": "MA",
            "postal_code": "023221330",
            "telephone_number": "508-583-2761",
            "fax_number": "508-587-8937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVON FIRST DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-15",
        "last_updated": "2009-09-15",
        "status": "A",
        "authorized_official_last_name": "GHOBBEH",
        "authorized_official_first_name": "FARSHAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-583-2761",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MA",
            "license": "21444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2009; 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.