NPIMap

Organization Active NPI

Cranberry Dental Associates, Inc.

  • General Practice Dentistry
  • Carver, MA
National Provider Identifier
1508005448
Registry record updated Feb 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CRANBERRY DENTAL ASSOCIATES, INC.
Practice address
70 N Main St
Carver, MA 02330-1128
Phone
(508) 866-3800
Fax
(508) 866-3811
NPI assigned
Feb 17, 2009
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mr. Robert Paul Hegner
Title
President
Phone
(617) 699-1007

Practitioners 2

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

National Provider Directory

National Provider Directory

Locations

70 N Main St
Carver, MA 02330
Phone (508) 866-3800

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

NPPES NPI Registry

Primary practice location

70 N Main St
Carver, MA 02330-1128

Mailing address

70 N Main St
Carver, MA 02330-1128
Phone (508) 866-3800

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 17, 2009.

{
    "created_epoch": "1234828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234828800000",
    "number": "1508005448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 N MAIN ST",
            "city": "CARVER",
            "state": "MA",
            "postal_code": "023301128",
            "telephone_number": "508-866-3800",
            "fax_number": "508-866-3811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 N MAIN ST",
            "city": "CARVER",
            "state": "MA",
            "postal_code": "023301128",
            "telephone_number": "508-866-3800",
            "fax_number": "508-866-3811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRANBERRY DENTAL ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-17",
        "last_updated": "2009-02-17",
        "status": "A",
        "authorized_official_last_name": "HEGNER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-699-1007",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carver, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2009; 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.