NPIMap

Organization Active NPI

Adults & Children Dental Care

  • General Practice Dentistry
  • Lynn, MA
National Provider Identifier
1568539807
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
18333 Issued in MA
Legal business name
ADULTS & CHILDREN DENTAL CARE
Practice address
140 Union St
Suite #303
Lynn, MA 01901
Phone
(781) 592-4438
Fax
(781) 593-1930
NPI assigned
Nov 30, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Stanislav Olegovich Tokarev, MDNPI 1902973258
Title
Dentist Owner
Phone
(781) 592-4438

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
General Practice Dentistry 1223G0001X 18333 MA Primary

Addresses

Primary practice location

140 Union St
Suite #303
Lynn, MA 01901

Mailing address

140 Union St
Suite #303
Lynn, MA 01901
Phone (781) 592-4438

Other identifiers 1

IdentifierTypeStateIssuer
9783806MedicaidMA

National Provider Directory

National Provider Directory

Locations

140 Union St
Ste 303
Lynn, MA 01901
Phone (781) 592-4438

Practitioners & affiliated clinicians

Practitioners 4

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": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568539807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 UNION ST",
            "address_2": "SUITE #303",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "01901",
            "telephone_number": "781-592-4438",
            "fax_number": "781-593-1930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 UNION ST",
            "address_2": "SUITE #303",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "01901",
            "telephone_number": "781-592-4438",
            "fax_number": "781-593-1930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADULTS & CHILDREN DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TOKAREV",
        "authorized_official_first_name": "STANISLAV",
        "authorized_official_middle_name": "OLEGOVICH",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "781-592-4438",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "18333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9783806",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynn, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.