Organization Active NPI

Merrimack Valley Dental Clinic PC

  • General Practice Dentistry
  • Dracut, MA
National Provider Identifier
1457593766
Registry record updated Apr 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
17303 Issued in MA
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

Updated by the provider on Apr 1, 2009

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.