Active NPI
Og Groups, PLLC
- General Practice Dentistry
- Brookline, MA
National Provider Identifier
1518220045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN22256
- Legal business name
- OG GROUPS, PLLC
- Doing business as
- OG Dental Group
- Practice address
- 40 Centre St
Suite #1
Brookline, MA 02446-2804 - Phone
- (617) 505-6530
- NPI assigned
- Jun 19, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Olivia Guo
- Title
- Manager of PLLC
- Phone
- (617) 510-7650
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN22256 | MA | Primary |
Addresses
Primary practice location
40 Centre St
Suite #1
Brookline, MA 02446-2804
Mailing address
40 Nouvelle Way
Unit 944
Natick, MA 01760-1571
Phone (617) 510-7650
Other names 1
- OG Dental Group
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340064000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1340064000000",
"number": "1518220045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 NOUVELLE WAY",
"address_2": "UNIT 944",
"city": "NATICK",
"state": "MA",
"postal_code": "017601571",
"telephone_number": "617-510-7650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 CENTRE ST",
"address_2": "SUITE #1",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024462804",
"telephone_number": "617-505-6530"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OG GROUPS, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-06-19",
"last_updated": "2012-06-19",
"status": "A",
"authorized_official_last_name": "GUO",
"authorized_official_first_name": "OLIVIA",
"authorized_official_title_or_position": "MANAGER OF PLLC",
"authorized_official_telephone_number": "617-510-7650",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "MA",
"license": "DN22256",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "OG Dental Group",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Brookline, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.