Organization Active NPI

Pleasant Street Dental PC

  • Dentist
  • Worcester, MA
National Provider Identifier
1578996070
Registry record updated Aug 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
19764 Issued in MA
Legal business name
PLEASANT STREET DENTAL PC
Practice address
101 Pleasant St
Suite 201
Worcester, MA 01609-3213
Phone
(508) 752-2485
Fax
(508) 752-3406
NPI assigned
Aug 20, 2013
Last updated
Aug 20, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2013

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

Authorized official

Name
Meenakshy Yegneswaran, DMDNPI 1750402327
Title
Dentist
Phone
(508) 752-2485

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 19764 MA Primary

Addresses

Primary practice location

101 Pleasant St
Suite 201
Worcester, MA 01609-3213

Mailing address

101 Pleasant St
Suite 201
Worcester, MA 01609-3213
Phone (508) 752-2485

Other identifiers 1

IdentifierTypeStateIssuer
1750402327OtherMATPYE 1 NPI

National Provider Directory

National Provider Directory

Locations

101 Pleasant St
Ste 201
Worcester, MA 01609
Phone (508) 752-2485

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": "1376956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376956800000",
    "number": "1578996070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 PLEASANT ST",
            "address_2": "SUITE 201",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016093213",
            "telephone_number": "508-752-2485",
            "fax_number": "508-752-3406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 PLEASANT ST",
            "address_2": "SUITE 201",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016093213",
            "telephone_number": "508-752-2485",
            "fax_number": "508-752-3406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLEASANT STREET DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-20",
        "last_updated": "2013-08-20",
        "status": "A",
        "authorized_official_last_name": "YEGNESWARAN",
        "authorized_official_first_name": "MEENAKSHY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "508-752-2485",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MA",
            "license": "19764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TPYE 1 NPI",
            "identifier": "1750402327",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2013; 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.