Active NPI
Terrance F McGovern DDS PC
- General Practice Dentistry
- Worcester, MA
National Provider Identifier
1487675302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 14022
- Legal business name
- TERRANCE F MCGOVERN DDS PC
- Practice address
- 715 Pleasant St
Worcester, MA 01602-1904 - Phone
- (508) 754-0918
- Fax
- (508) 756-1518
- NPI assigned
- Jul 23, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Terrance Francis McGovern, DDS
- Title
- Owner President Dentist
- Phone
- (508) 754-0918
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 14022 | MA | Primary |
Addresses
Primary practice location
715 Pleasant St
Worcester, MA 01602-1904
Mailing address
715 Pleasant St
Worcester, MA 01602-1904
Phone (508) 754-0918
National Provider Directory
National Provider DirectoryLocations
715 Pleasant St
Worcester, MA 01602
Phone (508) 754-0918
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Worcester, MA
- NPI 1922491190
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153612800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1425600000000",
"number": "1487675302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "715 PLEASANT ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016021904",
"telephone_number": "508-754-0918",
"fax_number": "508-756-1518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 PLEASANT ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016021904",
"telephone_number": "508-754-0918",
"fax_number": "508-756-1518"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TERRANCE F MCGOVERN DDS PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-23",
"last_updated": "2015-03-06",
"status": "A",
"authorized_official_last_name": "MCGOVERN",
"authorized_official_first_name": "TERRANCE",
"authorized_official_middle_name": "FRANCIS",
"authorized_official_title_or_position": "OWNER PRESIDENT DENTIST",
"authorized_official_telephone_number": "508-754-0918",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "MA",
"license": "14022",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.