Active NPI
Merrimack Valley Dental Clinic PC
- General Practice Dentistry
- Dracut, MA
National Provider Identifier
1457593766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 17303
- Legal business name
- MERRIMACK VALLEY DENTAL CLINIC PC
- Practice address
- 1794 Bridge St Ste 22a
Dracut, MA 01826-2680 - Phone
- (978) 454-8221
- Fax
- (978) 446-0911
- NPI assigned
- Apr 1, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Peter Niarhos, DMD
- Title
- President
- Phone
- (978) 454-8221
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 17303 | MA | Primary |
Addresses
Primary practice location
1794 Bridge St Ste 22a
Dracut, MA 01826-2680
Mailing address
1794 Bridge St Ste 22a
Dracut, MA 01826-2680
Phone (978) 454-8221
National Provider Directory
National Provider DirectoryLocations
1794 Bridge St
Ste 22A
Dracut, MA 01826
Phone (978) 454-8221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238544000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1238544000000",
"number": "1457593766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1794 BRIDGE ST STE 22A",
"city": "DRACUT",
"state": "MA",
"postal_code": "018262680",
"telephone_number": "978-454-8221",
"fax_number": "978-446-0911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1794 BRIDGE ST STE 22A",
"city": "DRACUT",
"state": "MA",
"postal_code": "018262680",
"telephone_number": "978-454-8221",
"fax_number": "978-446-0911"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MERRIMACK VALLEY DENTAL CLINIC PC",
"organizational_subpart": "NO",
"enumeration_date": "2009-04-01",
"last_updated": "2009-04-01",
"status": "A",
"authorized_official_last_name": "NIARHOS",
"authorized_official_first_name": "PETER",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "978-454-8221",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "MA",
"license": "17303",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dracut, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.