NPIMap

Organization Active NPI

Community Health Programs

Doing business as CHP Dental Mobile Unit

  • Dentist
  • GT Barrington, MA
National Provider Identifier
1558130302
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
COMMUNITY HEALTH PROGRAMS
Doing business as
CHP Dental Mobile Unit
Practice address
CHP Dental Mobile Unit
444 Stockbridge Road.
GT Barrington, MA 01230
Phone
(413) 528-9311
NPI assigned
Dec 21, 2023
Last updated
Dec 21, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
COMMUNITY HEALTH PROGRAMSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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

Authorized official

Name
Tom Walbridge
Title
Executive President.Chief Financial
Phone
(413) 528-9311

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary
Dental Hygienist 124Q00000X NU
Dental Assistant 126800000X NU

Addresses

Primary practice location

CHP Dental Mobile Unit
444 Stockbridge Road.
GT Barrington, MA 01230

Mailing address

PO Box 30
Great Barrington, MA 01230
Phone (413) 528-9311

Other identifiers 1

IdentifierTypeStateIssuer
110028131BMedicaidMA

Other names 1

  • CHP Dental Mobile Unit Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Community Health Programs Inc12 organizations share this tax ID, including this one
Part of
Community Health Programs Inc

Other organizations with this tax ID 11

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

NPI Registry JSON

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

{
    "created_epoch": "1703116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703116800000",
    "number": "1558130302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30",
            "city": "GREAT BARRINGTON",
            "state": "MA",
            "postal_code": "01230",
            "telephone_number": "413-528-9311",
            "fax_number": "413-664-0274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CHP DENTAL MOBILE UNIT",
            "address_2": "444 STOCKBRIDGE ROAD.",
            "city": "GT BARRINGTON",
            "state": "MA",
            "postal_code": "01230",
            "telephone_number": "413-528-9311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTH PROGRAMS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY HEALTH PROGRAMS",
        "enumeration_date": "2023-12-21",
        "last_updated": "2023-12-21",
        "status": "A",
        "authorized_official_last_name": "WALBRIDGE",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "EXECUTIVE PRESIDENT.CHIEF FINANCIAL",
        "authorized_official_telephone_number": "413-528-9311"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110028131B",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHP Dental Mobile Unit",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in GT Barrington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; 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.