NPIMap

Organization Active NPI

Tyngsboro Dental Care

  • Dentist
  • Westford, MA
National Provider Identifier
1568900884
Registry record updated Feb 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
21929 Issued in MA
Legal business name
TYNGSBORO DENTAL CARE
Practice address
41 Russells Way
Westford, MA 01886
Phone
(978) 692-6827
NPI assigned
Feb 7, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2017

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

Authorized official

Name
Dr. Madhurima Damera, DDSNPI 1275732463
Title
President
Phone
(978) 259-5965

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 21929 MA Primary

Addresses

Primary practice location

41 Russells Way
Westford, MA 01886

Mailing address

150 Westford Rd
#3
Tyngsboro, MA 01879-2511
Phone (978) 259-5965

National Provider Directory

National Provider Directory

Locations

150 Westford Rd
Unit 3
Tyngsboro, MA 01879
Phone (978) 259-5965

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": "1486425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486425600000",
    "number": "1568900884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 WESTFORD RD",
            "address_2": "#3",
            "city": "TYNGSBORO",
            "state": "MA",
            "postal_code": "018792511",
            "telephone_number": "978-259-5965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 RUSSELLS WAY",
            "city": "WESTFORD",
            "state": "MA",
            "postal_code": "01886",
            "telephone_number": "978-692-6827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYNGSBORO DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-07",
        "last_updated": "2017-02-07",
        "status": "A",
        "authorized_official_last_name": "DAMERA",
        "authorized_official_first_name": "MADHURIMA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-259-5965",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MA",
            "license": "21929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2017; 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.