NPIMap

Organization Active NPI

Lexington Dental Group LLC

  • Dentist
  • Lexington, MA
National Provider Identifier
1548861339
Registry record updated Nov 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
LEXINGTON DENTAL GROUP LLC
Practice address
35 Bedford St Ste 110
Lexington, MA 02420-4320
Phone
(781) 674-9995
Fax
(978) 922-6727
NPI assigned
Nov 6, 2020
Last updated
Nov 6, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2020

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

Authorized official

Name
Lorraine Matheus
Title
Credentialing Manager
Phone
(781) 562-0457

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X Primary

Addresses

Primary practice location

35 Bedford St Ste 110
Lexington, MA 02420-4320

Mailing address

35 Bedford St Ste 16
Lexington, MA 02420-4440
Phone (781) 863-0096

National Provider Directory

National Provider Directory
Tax ID family
Lexington Dental Group LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

35 Bedford St
Ste 110
Lexington, MA 02420
Phone (781) 674-9995

35 Bedford St
Ste 16
Lexington, MA 02420
Phone (781) 729-1159

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": "1604620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604620800000",
    "number": "1548861339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 BEDFORD ST STE 16",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024204440",
            "telephone_number": "781-863-0096",
            "fax_number": "978-922-6727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 BEDFORD ST STE 110",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024204320",
            "telephone_number": "781-674-9995",
            "fax_number": "978-922-6727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEXINGTON DENTAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-06",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-05",
        "status": "A",
        "authorized_official_last_name": "MATHEUS",
        "authorized_official_first_name": "LORRAINE",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "781-562-0457"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2020; 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.