Organization Active NPI

Cabot Dental Group, LLC

  • Dentist
  • Beverly, MA
National Provider Identifier
1487240875
Registry record updated Dec 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
CABOT DENTAL GROUP, LLC
Practice address
332 Cabot St
Beverly, MA 01915-3362
Phone
(625) 097-8927
NPI assigned
Dec 19, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2020

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

Authorized official

Name
Dr. Nicholas Papapetros, DMD
Title
President and Ceo
Phone
(978) 866-2678

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

332 Cabot St
Beverly, MA 01915-3362

Mailing address

332 Cabot St
Beverly, MA 01915-3362
Phone (625) 097-8927

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1608336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608336000000",
    "number": "1487240875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 CABOT ST",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019153362",
            "telephone_number": "625-097-8927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 CABOT ST",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019153362",
            "telephone_number": "625-097-8927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CABOT DENTAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-19",
        "last_updated": "2020-12-19",
        "certification_date": "2020-12-19",
        "status": "A",
        "authorized_official_last_name": "PAPAPETROS",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "978-866-2678",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.