NPIMap

Organization Active NPI

Gateway Family Dental, LLC

  • General Practice Dentistry
  • Lowell, MA
National Provider Identifier
1467751990
Registry record updated Mar 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN20154 Issued in MA
Legal business name
GATEWAY FAMILY DENTAL, LLC
Practice address
151 Warren St
Suite 120
Lowell, MA 01852-2647
Phone
(978) 905-0035
NPI assigned
Mar 23, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2011

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

Authorized official

Name
Dr. Serena B. Chuop, D.M.D.NPI 1528363975
Title
Dentist/Owner
Phone
(978) 905-0035

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DN20154 MA Primary

Addresses

Primary practice location

151 Warren St
Suite 120
Lowell, MA 01852-2647

Mailing address

7 Joslin LN
Southborough, MA 01172-2647
Phone (978) 905-0035

National Provider Directory

National Provider Directory

Locations

151 Warren St
Ste 120
Lowell, MA 01852
Phone (978) 455-5044

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1300838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300838400000",
    "number": "1467751990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 JOSLIN LN",
            "city": "SOUTHBOROUGH",
            "state": "MA",
            "postal_code": "011722647",
            "telephone_number": "978-905-0035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 WARREN ST",
            "address_2": "SUITE 120",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018522647",
            "telephone_number": "978-905-0035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY FAMILY DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-23",
        "last_updated": "2011-03-23",
        "status": "A",
        "authorized_official_last_name": "CHUOP",
        "authorized_official_first_name": "SERENA",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "978-905-0035",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN20154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowell, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2011; 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.