NPIMap

Organization Active NPI

Sven Supplies DMD, PC

  • Dental Clinic/Center
  • Acton, MA
National Provider Identifier
1578882635
Registry record updated May 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
18956 Issued in MA
Legal business name
SVEN SUPPLIES DMD, PC
Practice address
179 Great Rd
Suiute 206
Acton, MA 01720-5777
Phone
(978) 263-8358
Fax
(978) 263-9260
NPI assigned
May 27, 2010
Last updated
May 27, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2010

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

Authorized official

Name
Dr. Sven Supplies, DMDNPI 1265400519
Title
Owner/President
Phone
(978) 263-8358

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
Dental Clinic/Center 261QD0000X 18956 MA Primary

Addresses

Primary practice location

179 Great Rd
Suiute 206
Acton, MA 01720-5777

Mailing address

179 Great Rd
Suiute 206
Acton, MA 01720-5777
Phone (978) 263-8358

Other names 1

  • Great Road Orthodontics Former legal business name

National Provider Directory

National Provider Directory

Locations

179 Great Rd
Ste 206
Acton, MA 01720
Phone (978) 263-8358

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": "1274918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274918400000",
    "number": "1578882635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 GREAT RD",
            "address_2": "SUIUTE 206",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017205777",
            "telephone_number": "978-263-8358",
            "fax_number": "978-263-9260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 GREAT RD",
            "address_2": "SUIUTE 206",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017205777",
            "telephone_number": "978-263-8358",
            "fax_number": "978-263-9260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SVEN SUPPLIES DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-27",
        "last_updated": "2010-05-27",
        "status": "A",
        "authorized_official_last_name": "SUPPLIES",
        "authorized_official_first_name": "SVEN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "978-263-8358",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MA",
            "license": "18956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Great Road Orthodontics",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Acton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2010; 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.