Active NPI
Dr. Roland G. Nentwich
- Orthodontics and Dentofacial Orthopedics Dentistry
- Shrewsbury, MA
National Provider Identifier
1568609014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 12628
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366469355 | Other | MA | PERSONAL IDENTIFITICATION NUMBER |
National Provider Directory
National Provider DirectoryLocations
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.