NPIMap

Organization Active NPI

Visitingdental Associates of Ma LLC

  • Public Health Dentistry
  • Middleboro, MA
National Provider Identifier
1528477320
Registry record updated Aug 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health DentistryTaxonomy code 1223D0001X
License
12768 Issued in MA
Legal business name
VISITINGDENTAL ASSOCIATES OF MA LLC
Practice address
18 Purchase St
Middleboro, MA 02346-3356
Phone
(888) 236-3536
NPI assigned
Aug 5, 2014
Last updated
Aug 5, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2014

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

Authorized official

Name
Cathy Jean Grinham, RDHNPI 1275846875
Title
Executive Director
Phone
(888) 236-3536

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health Dentistry 1223D0001X 12768 MA Primary

Addresses

Primary practice location

18 Purchase St
Middleboro, MA 02346-3356

Mailing address

18 Purchase St
Middleboro, MA 02346-3356
Phone (888) 236-3536

National Provider Directory

National Provider Directory

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": "1407196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407196800000",
    "number": "1528477320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 PURCHASE ST",
            "city": "MIDDLEBORO",
            "state": "MA",
            "postal_code": "023463356",
            "telephone_number": "888-236-3536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 PURCHASE ST",
            "city": "MIDDLEBORO",
            "state": "MA",
            "postal_code": "023463356",
            "telephone_number": "888-236-3536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISITINGDENTAL ASSOCIATES OF MA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-05",
        "last_updated": "2014-08-05",
        "status": "A",
        "authorized_official_last_name": "GRINHAM",
        "authorized_official_first_name": "CATHY",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "888-236-3536",
        "authorized_official_credential": "RDH"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "MA",
            "license": "12768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleboro, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2014; 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.