Organization Active NPI

Dr. Roland G. Nentwich

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Shrewsbury, MA
National Provider Identifier
1568609014
Registry record updated Jan 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
12628 Issued in MA
Legal business name
DR. ROLAND G. NENTWICH
Practice address
506 Main Street
Shrewsbury, MA 01545
Phone
(508) 845-6711
Fax
(508) 842-0648
NPI assigned
Jan 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2009

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

Authorized official

Name
Dr. Roland Gerald Nentwich, D.D.S.
Title
Orthodontist
Phone
(508) 845-6711

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 12628 MA Primary

Addresses

Primary practice location

506 Main Street
Shrewsbury, MA 01545

Mailing address

506 Main Street
Shrewsbury, MA 01545
Phone (508) 845-6711

Other identifiers 1

IdentifierTypeStateIssuer
1366469355OtherMAPERSONAL IDENTIFITICATION NUMBER

National Provider Directory

National Provider Directory

Locations

506 Main St
Shrewsbury, MA 01545
Phone (508) 845-6711

NPI Registry JSON

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

{
    "created_epoch": "1232409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232409600000",
    "number": "1568609014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 MAIN STREET",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "01545",
            "telephone_number": "508-845-6711",
            "fax_number": "508-842-0648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 MAIN STREET",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "01545",
            "telephone_number": "508-845-6711",
            "fax_number": "508-842-0648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ROLAND G. NENTWICH",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-20",
        "last_updated": "2009-01-20",
        "status": "A",
        "authorized_official_last_name": "NENTWICH",
        "authorized_official_first_name": "ROLAND",
        "authorized_official_middle_name": "GERALD",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "508-845-6711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MA",
            "license": "12628",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL IDENTIFITICATION NUMBER",
            "identifier": "1366469355",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shrewsbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2009; 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.