Organization Active NPI

Practice of Family and Cosmetic Dentistry LLP

  • Dentist
  • Ashland, MA
National Provider Identifier
1477573715
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
PRACTICE OF FAMILY AND COSMETIC DENTISTRY LLP
Practice address
30 Main St
Ste 2
Ashland, MA 01721
Phone
(508) 881-4266
Fax
(508) 881-3983
NPI assigned
Jul 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Marc F RubinNPI 1508809898
Title
Owner
Phone
(508) 881-4266

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X MA Primary

Addresses

Primary practice location

30 Main St
Ste 2
Ashland, MA 01721

Mailing address

30 Main St
Ste 2
Ashland, MA 01721
Phone (508) 881-4266

Other identifiers 1

IdentifierTypeStateIssuer
X12101OtherMABLUE CROSS

National Provider Directory

National Provider Directory

Locations

30 Main St
Ste 2
Ashland, MA 01721
Phone (508) 881-4266

Practitioners & affiliated clinicians

Practitioners 3

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": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477573715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 MAIN ST",
            "address_2": "STE 2",
            "city": "ASHLAND",
            "state": "MA",
            "postal_code": "01721",
            "telephone_number": "508-881-4266",
            "fax_number": "508-881-3983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 MAIN ST",
            "address_2": "STE 2",
            "city": "ASHLAND",
            "state": "MA",
            "postal_code": "01721",
            "telephone_number": "508-881-4266",
            "fax_number": "508-881-3983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRACTICE OF FAMILY AND COSMETIC DENTISTRY LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RUBIN",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-881-4266",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "X12101",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.