Organization Active NPI

Donghyun Noh DMD LLC

Doing business as Pristine Dental

  • General Practice Dentistry
  • Walpole, MA
National Provider Identifier
1487011805
Registry record updated Jan 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN1856255 Issued in MA
Legal business name
DONGHYUN NOH DMD LLC
Doing business as
Pristine Dental
Practice address
555 Providence Hwy Unit 2
Walpole, MA 02081-4230
Phone
(678) 939-8229
Fax
(844) 216-7498
NPI assigned
Jan 16, 2016
Last updated
Jan 16, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2016

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

Authorized official

Name
Dr. Donghyun Noh, DMDNPI 1467897454
Title
DMD/Owner
Phone
(678) 939-8229

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 DN1856255 MA Primary

Addresses

Primary practice location

555 Providence Hwy Unit 2
Walpole, MA 02081-4230

Mailing address

10 Manomet St Apt 249
New Bedford, MA 02746-5421
Phone (678) 939-8229

Other names 1

  • PRISTINE DENTAL Doing business as

National Provider Directory

National Provider Directory

Locations

555 Providence Hwy
Ste 2
Walpole, MA 02081
Phone (508) 734-7056

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1452902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452902400000",
    "number": "1487011805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MANOMET ST APT 249",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027465421",
            "telephone_number": "678-939-8229",
            "fax_number": "844-216-7498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 PROVIDENCE HWY UNIT 2",
            "city": "WALPOLE",
            "state": "MA",
            "postal_code": "020814230",
            "telephone_number": "678-939-8229",
            "fax_number": "844-216-7498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONGHYUN NOH DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-16",
        "last_updated": "2016-01-16",
        "status": "A",
        "authorized_official_last_name": "NOH",
        "authorized_official_first_name": "DONGHYUN",
        "authorized_official_title_or_position": "DMD/OWNER",
        "authorized_official_telephone_number": "678-939-8229",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1856255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRISTINE DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Walpole, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2016; 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.