NPIMap

Organization Active NPI

Quincy Endodontics Inc.

  • Endodontics
  • Quincy, MA
National Provider Identifier
1497957492
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
19699 Issued in MA
Legal business name
QUINCY ENDODONTICS INC.
Practice address
67 Coddington St
Suite 102
Quincy, MA 02169-4511
Phone
(617) 657-0800
Fax
(617) 657-5135
NPI assigned
Jun 1, 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. Yean Wu-Young, DMDNPI 1033297049
Title
Owner
Phone
(617) 657-0800

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)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X 19699 MA Primary

Addresses

Primary practice location

67 Coddington St
Suite 102
Quincy, MA 02169-4511

Mailing address

67 Coddington St
Suite 102
Quincy, MA 02169-4511
Phone (617) 657-0800

National Provider Directory

National Provider Directory

Locations

67 Coddington St
Ste 102
Quincy, MA 02169
Phone (617) 657-0800

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497957492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 CODDINGTON ST",
            "address_2": "SUITE 102",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021694511",
            "telephone_number": "617-657-0800",
            "fax_number": "617-657-5135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 CODDINGTON ST",
            "address_2": "SUITE 102",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021694511",
            "telephone_number": "617-657-0800",
            "fax_number": "617-657-5135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUINCY ENDODONTICS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WU-YOUNG",
        "authorized_official_first_name": "YEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-657-0800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "MA",
            "license": "19699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, 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.