Chicopee Family Dental PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

21135 Issued in MA

Legal business name

CHICOPEE FAMILY DENTAL PC

Practice address

30 Saint James Ave
Chicopee, MA 01020-2453

Phone

(413) 592-2177

Fax

(413) 592-3278

NPI assigned

Mar 29, 2009

Last updated

Mar 29, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ammar Bash, DMD

Title

Dentist /President

Phone

(781) 526-5042

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1238284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238284800000",
    "number": "1588806152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 SAINT JAMES AVE",
            "city": "CHICOPEE",
            "state": "MA",
            "postal_code": "010202453",
            "telephone_number": "413-592-2177",
            "fax_number": "413-592-3278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 SAINT JAMES AVE",
            "city": "CHICOPEE",
            "state": "MA",
            "postal_code": "010202453",
            "telephone_number": "413-592-2177",
            "fax_number": "413-592-3278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICOPEE FAMILY DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-29",
        "last_updated": "2009-03-29",
        "status": "A",
        "authorized_official_last_name": "BASH",
        "authorized_official_first_name": "AMMAR",
        "authorized_official_title_or_position": "DENTIST /PRESIDENT",
        "authorized_official_telephone_number": "781-526-5042",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "21135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chicopee Assisted Living Limited Partnership (The Arbors at Chicopee)
• Chicopee Center Chiropractic, Inc.
• Chicopee Dental Inc (Star Dental)
• Chicopee Dentistry and Braces, PC
• Chicopee Eyecare, P.C.
• Chicopee Family Dental, LLC
• Chicopee Gardens Rehabilitation and Care Center Operations LLC (Birch Gardens Nursing and Rehabilitation)
• Chicopee Health Center Pharmacy
• Chicopee Health Department
• Chicopee Rehabilitation and Nursing Center LLC

• General Practice Dentistry in Chicopee, MA
• Providers in Chicopee, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.

Verify at the official NPI Registry.