NPIMap

Organization Active NPI

Crestal Health Periodontics, PC

  • Denturist
  • Northampton, MA
National Provider Identifier
1487804530
Registry record updated Sep 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DenturistTaxonomy code 122400000X
License
20863 Issued in MA
Legal business name
CRESTAL HEALTH PERIODONTICS, PC
Practice address
243 King St
Suite 242
Northampton, MA 01060-2451
Phone
(413) 584-2229
Fax
(413) 584-2290
NPI assigned
Sep 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2008

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

Authorized official

Name
Dr. Daniel B Stiefel, D.M.D.
Title
Owner
Phone
(413) 584-2229

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DenturistGroup: 193400000X SINGLE SPECIALTY GROUP 122400000X 20863 MA Primary

Addresses

Primary practice location

243 King St
Suite 242
Northampton, MA 01060-2451

Mailing address

243 King St
Suite 242
Northampton, MA 01060-2451
Phone (413) 584-2229

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1222300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222387200000",
    "number": "1487804530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 KING ST",
            "address_2": "SUITE 242",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010602451",
            "telephone_number": "413-584-2229",
            "fax_number": "413-584-2290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 KING ST",
            "address_2": "SUITE 242",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010602451",
            "telephone_number": "413-584-2229",
            "fax_number": "413-584-2290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESTAL HEALTH PERIODONTICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-25",
        "last_updated": "2008-09-26",
        "status": "A",
        "authorized_official_last_name": "STIEFEL",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "413-584-2229",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Denturist",
            "state": "MA",
            "license": "20863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northampton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2008; 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.