Organization Active NPI

Rosario Z Agular

  • Pediatric Dentistry
  • Woburn, MA
National Provider Identifier
1487859062
Registry record updated Aug 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
13081 Issued in MA
Legal business name
ROSARIO Z AGULAR
Practice address
7 Alfred St.
Baldwin Park II Suite 210
Woburn, MA 01801
Phone
(781) 933-8380
Fax
(781) 933-8380
NPI assigned
Jun 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2008

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

Authorized official

Name
Rosario Z Agular, DMD
Title
Owner
Phone
(781) 933-8380

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 13081 MA Primary

Addresses

Primary practice location

7 Alfred St.
Baldwin Park II Suite 210
Woburn, MA 01801

Mailing address

7 Alfred St.
Baldwin Park II Suite 210
Woburn, MA 01801
Phone (781) 933-8380

Other identifiers 2

IdentifierTypeStateIssuer
9768726MedicaidMA
0244457MedicaidMA

Other names 1

  • Pediatric and Family Dentistry of Woburn Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pediatric and Family Dentistry of Woburn2 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": "1181865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218412800000",
    "number": "1487859062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 ALFRED ST.",
            "address_2": "BALDWIN PARK II SUITE 210",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "01801",
            "telephone_number": "781-933-8380",
            "fax_number": "781-933-8380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 ALFRED ST.",
            "address_2": "BALDWIN PARK II SUITE 210",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "01801",
            "telephone_number": "781-933-8380",
            "fax_number": "781-933-8380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSARIO Z AGULAR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-15",
        "last_updated": "2008-08-11",
        "status": "A",
        "authorized_official_last_name": "AGULAR",
        "authorized_official_first_name": "ROSARIO",
        "authorized_official_middle_name": "Z",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-933-8380",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MA",
            "license": "13081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9768726",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0244457",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric and Family Dentistry of Woburn",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woburn, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.