Organization Active NPI

Og Groups, PLLC

  • General Practice Dentistry
  • Brookline, MA
National Provider Identifier
1518220045
Registry record updated Jun 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN22256 Issued in MA
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

Updated by the provider on Jun 19, 2012

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.