NPIMap

Organization Active NPI

Richard John McNulty D.M.D. LLC

  • Dentist
  • Vineyard Haven, MA
National Provider Identifier
1538526694
Registry record updated Jan 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN14347 Issued in MA
Legal business name
RICHARD JOHN MCNULTY D.M.D. LLC
Practice address
65 Main St
Vineyard Haven, MA 02568-5402
Phone
(508) 687-9752
Fax
(508) 687-5793
NPI assigned
Jan 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2016

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

Authorized official

Name
Dr. Richard John McNulty, D.M.D
Title
Dentist
Phone
(508) 687-9752

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X DN14347 MA Primary

Addresses

Primary practice location

65 Main St
Vineyard Haven, MA 02568-5402

Mailing address

PO Box 4477
Vineyard Haven, MA 02568-0935
Phone (508) 693-5454

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1453248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453248000000",
    "number": "1538526694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4477",
            "city": "VINEYARD HAVEN",
            "state": "MA",
            "postal_code": "025680935",
            "telephone_number": "508-693-5454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 MAIN ST",
            "city": "VINEYARD HAVEN",
            "state": "MA",
            "postal_code": "025685402",
            "telephone_number": "508-687-9752",
            "fax_number": "508-687-5793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD JOHN MCNULTY D.M.D. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-20",
        "last_updated": "2016-01-20",
        "status": "A",
        "authorized_official_last_name": "MCNULTY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "508-687-9752",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN14347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vineyard Haven, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2016; 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.