St Apollonia Dentistry LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

ST APOLLONIA DENTISTRY LLC

Doing business as

First Street Smiles

Practice address

7 1St St
North Andover, MA 01845-2407

Phone

(978) 685-5804

NPI assigned

Jan 22, 2021

Organization subpart

No

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

Authorized official

Name

Mariam Michael

Title

Office Manager

Phone

(978) 685-5804

Specialties & licenses 2

Addresses

Other names 1

• First Street Smiles Doing business as

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrew Beshay

  • Dentist
  • Worcester, MA
  • NPI 1265803183
  NPD
• John S Rizza, DMD

  • General Practice Dentistry
  • Robbinsville, NC
  • NPI 1730193111
  NPD (past)

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

{
    "created_epoch": "1611273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724025600000",
    "number": "1457941502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 1ST ST",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018452407",
            "telephone_number": "978-685-5804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 1ST ST",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018452407",
            "telephone_number": "978-685-5804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST APOLLONIA DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-22",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A",
        "authorized_official_last_name": "MICHAEL",
        "authorized_official_first_name": "MARIAM",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "978-685-5804"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "First Street Smiles",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "First Street Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Speech Therapy Solutions, Inc. (The Speech and Language Center)
• Speech With Vai
• Spine Align Chiropractic, LLC
• Lindsey Lee Spoor, RN
• Square Behavioral Health, LLC
• Stephanie Aamodt St Pierre, MD
• Michelle-Lacy St. Cyr, LPN
• Stephen H Halem DMD PC
• Steven J. Harris,M.D.,P.C.
• Molly S Stockfisch

• Dentist in North Andover, MA
• Providers in North Andover, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.