NPIMap

Organization Active NPI

Trustees of Tufts University

Doing business as Tufts Dental Facility at West Springfield

  • Dental Clinic/Center
  • West Springfield, MA
National Provider Identifier
1508206012
Registry record updated Jul 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
20040 Issued in MA
Legal business name
TRUSTEES OF TUFTS UNIVERSITY
Doing business as
Tufts Dental Facility at West Springfield
Practice address
1275 Elm St
West Springfield, MA 01089-1820
Phone
(781) 899-6020
NPI assigned
Jun 28, 2013
Last updated
Jul 3, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2013

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

Authorized official

Name
Dr. Darren Drag
Title
Director of Clinical Operations
Phone
(781) 899-6020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 20040 MA Primary

Addresses

Primary practice location

1275 Elm St
West Springfield, MA 01089-1820

Mailing address

1275 Elm St
West Springfield, MA 01089-1820

Other names 1

  • Tufts Dental Facility at West Springfield Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Hooper Infirmary23 organizations share this tax ID, including this one

Other organizations with this tax ID 22

Organizations that report the same tax identification number in the National Provider Directory.

View all 22

Locations

1275 Elm St
West Springfield, MA 01089
Phone (413) 785-1153

NPI Registry JSON

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

{
    "created_epoch": "1372377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372809600000",
    "number": "1508206012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 ELM ST",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010891820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 ELM ST",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010891820",
            "telephone_number": "781-899-6020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUSTEES OF TUFTS UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-28",
        "last_updated": "2013-07-03",
        "status": "A",
        "authorized_official_last_name": "DRAG",
        "authorized_official_first_name": "DARREN",
        "authorized_official_title_or_position": "DIRECTOR OF CLINICAL OPERATIONS",
        "authorized_official_telephone_number": "781-899-6020",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MA",
            "license": "20040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tufts Dental Facility at West Springfield",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Springfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2013; 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.