Active NPI
Pemberton Dental Associates
- Prosthodontics
- Lawrence, MA
National Provider Identifier
1467125310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- Legal business name
- PEMBERTON DENTAL ASSOCIATES
- Practice address
- 100 Amesbury St Ste 207
Lawrence, MA 01840-1321 - Phone
- (978) 687-7811
- NPI assigned
- Jul 27, 2021
- 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
- Miss Pamela Martinez
- Title
- Business Manager
- Phone
- (857) 413-1187
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | Primary |
Addresses
Primary practice location
100 Amesbury St Ste 207
Lawrence, MA 01840-1321
Mailing address
215 Newbury St Ste 201
Peabody, MA 01960-2400
Phone (978) 535-3800
National Provider Directory
National Provider DirectoryLocations
100 Amesbury St
Ste 207
Lawrence, MA 01840
Phone (978) 687-7811
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Lawrence, MA
- NPI 1427086511
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627344000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1627344000000",
"number": "1467125310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 NEWBURY ST STE 201",
"city": "PEABODY",
"state": "MA",
"postal_code": "019602400",
"telephone_number": "978-535-3800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 AMESBURY ST STE 207",
"city": "LAWRENCE",
"state": "MA",
"postal_code": "018401321",
"telephone_number": "978-687-7811"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEMBERTON DENTAL ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2021-07-27",
"last_updated": "2021-07-27",
"certification_date": "2021-07-27",
"status": "A",
"authorized_official_last_name": "MARTINEZ",
"authorized_official_first_name": "PAMELA",
"authorized_official_title_or_position": "BUSINESS MANAGER",
"authorized_official_telephone_number": "857-413-1187",
"authorized_official_name_prefix": "Miss"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Prosthodontics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lawrence, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.