Organization Active NPI

Needham Family Dental, P.C.

  • General Practice Dentistry
  • Needham, MA
National Provider Identifier
1528337250
Registry record updated Dec 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22300 Issued in MA
Legal business name
NEEDHAM FAMILY DENTAL, P.C.
Practice address
234 Chestnut St
Needham, MA 02492-2407
Phone
(781) 444-0038
NPI assigned
Dec 27, 2011
Last updated
Dec 27, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2011

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

Authorized official

Name
Dr. Elizabeth Russ, DMD
Title
Ceo/Owner/Dentist
Phone
(781) 325-2342

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 22300 MA Primary

Addresses

Primary practice location

234 Chestnut St
Needham, MA 02492-2407

Mailing address

234 Chestnut St
Needham, MA 02492-2407
Phone (781) 444-0038

National Provider Directory

National Provider Directory

Locations

234 Chestnut St
Needham, MA 02492
Phone (781) 444-0038

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1324944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324944000000",
    "number": "1528337250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 CHESTNUT ST",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024922407",
            "telephone_number": "781-444-0038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 CHESTNUT ST",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024922407",
            "telephone_number": "781-444-0038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEEDHAM FAMILY DENTAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-27",
        "last_updated": "2011-12-27",
        "status": "A",
        "authorized_official_last_name": "RUSS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "CEO/OWNER/DENTIST",
        "authorized_official_telephone_number": "781-325-2342",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "22300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Needham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2011; 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.