Active NPI
Quincy Adams Dental Assoc., Inc
- Dental Clinic/Center
- Quincy, MA
National Provider Identifier
1548749336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 9657
- Legal business name
- QUINCY ADAMS DENTAL ASSOC., INC
- Practice address
- 23 Russell Park
Quincy, MA 02169-4304 - Phone
- (617) 773-3530
- Fax
- (617) 773-5161
- NPI assigned
- Aug 13, 2018
- 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. Joseph A Dimartinis Jr., DMD
- Title
- President
- Phone
- (617) 773-3530
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | 9657 | MA | Primary |
Addresses
Primary practice location
23 Russell Park
Quincy, MA 02169-4304
Mailing address
23 Russell Park
Quincy, MA 02169-4304
Phone (617) 773-3530
National Provider Directory
National Provider DirectoryLocations
23 Russell Park
Quincy, MA 02169
Phone (617) 773-3530
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534118400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1534118400000",
"number": "1548749336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 RUSSELL PARK",
"city": "QUINCY",
"state": "MA",
"postal_code": "021694304",
"telephone_number": "617-773-3530",
"fax_number": "617-773-5161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 RUSSELL PARK",
"city": "QUINCY",
"state": "MA",
"postal_code": "021694304",
"telephone_number": "617-773-3530",
"fax_number": "617-773-5161"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "QUINCY ADAMS DENTAL ASSOC., INC",
"organizational_subpart": "NO",
"enumeration_date": "2018-08-13",
"last_updated": "2018-08-13",
"status": "A",
"authorized_official_last_name": "DIMARTINIS",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "617-773-3530",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "MA",
"license": "9657",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Quincy, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.