Organization Active NPI

Alpha Dental Center of Taunton, LLC

  • General Practice Dentistry
  • Taunton, MA
National Provider Identifier
1598255242
Registry record updated May 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ALPHA DENTAL CENTER OF TAUNTON, LLC
Practice address
23 Cedar St
Taunton, MA 02780-3330
Phone
(508) 822-1281
NPI assigned
May 17, 2018
Organization subpart
Yes
Parent organization
ALPHA DENTAL CENTER OF TAUNTON, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 17, 2018

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

Authorized official

Name
Mardy Costa
Title
Administrator
Phone
(508) 728-5019

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

23 Cedar St
Taunton, MA 02780-3330

Mailing address

23 Cedar St
Taunton, MA 02780-3330

Other practice location 1

161 High St
Taunton, MA 02780-3529
Phone (508) 822-2582

National Provider Directory

National Provider Directory
Tax ID family
Alpha Dental Center of Taunton LLC3 organizations share this tax ID, including this one
Part of
Alpha Dental Center of Taunton LLC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1526515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526515200000",
    "number": "1598255242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 CEDAR ST",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027803330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 CEDAR ST",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027803330",
            "telephone_number": "508-822-1281"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "161 High St",
            "address_purpose": "LOCATION",
            "city": "Taunton",
            "state": "MA",
            "postal_code": "027803529",
            "country_code": "US",
            "telephone_number": "508-822-2582",
            "fax_number": "508-880-9434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALPHA DENTAL CENTER OF TAUNTON, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALPHA DENTAL CENTER OF TAUNTON, LLC",
        "enumeration_date": "2018-05-17",
        "last_updated": "2018-05-17",
        "status": "A",
        "authorized_official_last_name": "COSTA",
        "authorized_official_first_name": "MARDY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "508-728-5019"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taunton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2018; 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.