NPIMap

Organization Active NPI

Columbian Square Dental, LLC

  • General Practice Dentistry
  • Weymouth, MA
National Provider Identifier
1447617535
Registry record updated Jan 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
15537 Issued in MA
Legal business name
COLUMBIAN SQUARE DENTAL, LLC
Practice address
59 Columbian St
Weymouth, MA 02190-2414
Phone
(781) 337-6644
NPI assigned
Jan 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2016

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

Authorized official

Name
Stephen J Kerr, DMD
Title
Owner
Phone
(781) 337-6644

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 15537 MA Primary

Addresses

Primary practice location

59 Columbian St
Weymouth, MA 02190-2414

Mailing address

59 Columbian St
Weymouth, MA 02190-2414
Phone (781) 337-6644

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1453334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453334400000",
    "number": "1447617535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 COLUMBIAN ST",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021902414",
            "telephone_number": "781-337-6644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 COLUMBIAN ST",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021902414",
            "telephone_number": "781-337-6644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIAN SQUARE DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-21",
        "last_updated": "2016-01-21",
        "status": "A",
        "authorized_official_last_name": "KERR",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-337-6644",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "15537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weymouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2016; 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.