Organization Active NPI

Dr. Katharine M. Munn, D.D.S., P.C.

  • Periodontics
  • Fitchburg, MA
National Provider Identifier
1497879233
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
20031 Issued in MA
Legal business name
DR. KATHARINE M. MUNN, D.D.S., P.C.
Practice address
64 Whalon Street
Fitchburg, MA 01420-7138
Phone
(978) 342-4280
Fax
(978) 343-4593
NPI assigned
Mar 19, 2007
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. Katharine Margaret Munn, D.D.S.
Title
Dr.
Phone
(978) 342-4280

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X 20031 MA Primary

Addresses

Primary practice location

64 Whalon Street
Fitchburg, MA 01420-7138

Mailing address

64 Whalon Street
Fitchburg, MA 01420-7138
Phone (978) 342-4280

National Provider Directory

National Provider Directory

Locations

64 Whalon St
Fitchburg, MA 01420
Phone (978) 348-2183

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497879233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 WHALON STREET",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014207138",
            "telephone_number": "978-342-4280",
            "fax_number": "978-343-4593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 WHALON STREET",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014207138",
            "telephone_number": "978-342-4280",
            "fax_number": "978-343-4593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. KATHARINE M. MUNN, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MUNN",
        "authorized_official_first_name": "KATHARINE",
        "authorized_official_middle_name": "MARGARET",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "978-342-4280",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "MA",
            "license": "20031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fitchburg, 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.