Stephen M. Vultaggio DDS, PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

STEPHEN M. VULTAGGIO DDS, PC

Practice address

115 Thoreau St
Concord, MA 01742-2443

Phone

(978) 371-2792

NPI assigned

Aug 29, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Stephen M Vultaggio, DDSNPI 1891852356

Title

Owner/Dentist

Phone

(978) 371-2792

Specialties & licenses 1

Addresses

Other names 1

• Stephen M. Vultaggio DDS Former legal business name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

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

• Stephen Mario Vultaggio, D.D.S.

  • General Practice Dentistry
  • Concord, MA
  • NPI 1891852356
  NPD (past) Authorized official
• Juliana Andrea Enriquez

  • Student in an Organized Health Care Education/Training Program
  • Concord, MA
  • NPI 1952199143
  NPD (past)
• Andrew George Vultaggio, DMD

  • Dentist
  • Concord, MA
  • NPI 1437980778
  NPD (past)

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

{
    "created_epoch": "1503964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503964800000",
    "number": "1477070571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 THOREAU ST",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017422443",
            "telephone_number": "978-808-2234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 THOREAU ST",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017422443",
            "telephone_number": "978-371-2792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN M. VULTAGGIO DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-29",
        "last_updated": "2017-08-29",
        "status": "A",
        "authorized_official_last_name": "VULTAGGIO",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "978-371-2792",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stephen M. Vultaggio DDS",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Caitlin Pittel Stark, PSY.D.
• Start Inc
• Amanda Stason, LMHC
• Jannette M Steed
• Stephen a. Smith, M.D., P.C.
• Peter Stern
• Steven Herson MD
• Lisa Cate Stiegel, LMHC
• Still Waters Counseling LLC
• Michelle Ann Stivers, RN

• Dental Clinic/Center in Concord, MA
• Providers in Concord, MA by specialty
• Dental Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.