NPIMap

Organization Active NPI

DRS Darvish & Gallagher PC

  • Pediatric Dentistry
  • Worcester, MA
National Provider Identifier
1487712675
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
1053411798 Issued in MA
Legal business name
DRS DARVISH & GALLAGHER PC
Practice address
200 Lincoln Street
Worcester, MA 01605
Phone
(508) 756-6264
Fax
(508) 756-6490
NPI assigned
Dec 4, 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. Manouch Darvish
Title
President
Phone
(508) 756-6264

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 1053411798 MA Primary

Addresses

Primary practice location

200 Lincoln Street
Worcester, MA 01605

Mailing address

200 Lincoln Street
Worcester, MA 01605
Phone (508) 756-6264

National Provider Directory

National Provider Directory
Tax ID family
DRS Darvish Gallagher PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487712675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 LINCOLN STREET",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "01605",
            "telephone_number": "508-756-6264",
            "fax_number": "508-756-6490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 LINCOLN STREET",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "01605",
            "telephone_number": "508-756-6264",
            "fax_number": "508-756-6490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS DARVISH & GALLAGHER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DARVISH",
        "authorized_official_first_name": "MANOUCH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-756-6264",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MA",
            "license": "1053411798",
            "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 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.