Organization Active NPI

Michael M. Katz, D.D.S.,P.C.

Doing business as Westport Dental Associates

  • General Practice Dentistry
  • Westport, MA
National Provider Identifier
1578680674
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12848 Issued in MA
Legal business name
MICHAEL M. KATZ, D.D.S.,P.C.
Doing business as
Westport Dental Associates
Practice address
708 Sanford Rd
Westport, MA 02790-4038
Phone
(508) 675-0561
NPI assigned
Mar 23, 2007
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
Dr. Michael Monroe Katz, D.D.S.NPI 1275651945
Title
Owner
Phone
(508) 675-0561

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 12848 MA Primary

Addresses

Primary practice location

708 Sanford Rd
Westport, MA 02790-4038

Mailing address

708 Sanford Rd
Westport, MA 02790-4038
Phone (508) 675-0561

Other identifiers 4

IdentifierTypeStateIssuer
8652-7OtherRIBLUE CROSS BLUE SHIELD
405-1OtherKYUNITED HEALTHCARE
695979OtherPAUNITED CONCORDIA
X10509OtherMABLUE CROSS BLUE SHEILD

Other names 1

  • Westport Dental Associates Doing business as

National Provider Directory

National Provider Directory

Locations

708 Sanford Rd
Westport, MA 02790
Phone (508) 675-0561

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": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578680674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 SANFORD RD",
            "city": "WESTPORT",
            "state": "MA",
            "postal_code": "027904038",
            "telephone_number": "508-675-0561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 SANFORD RD",
            "city": "WESTPORT",
            "state": "MA",
            "postal_code": "027904038",
            "telephone_number": "508-675-0561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL M. KATZ, D.D.S.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KATZ",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "MONROE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-675-0561",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "12848",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8652-7",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "405-1",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "695979",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "X10509",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westport Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westport, 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.