Organization Active NPI

Highland Dental DMD PC

Doing business as Highlant Dental associates

  • General Practice Dentistry
  • Somerville, MA
National Provider Identifier
1598976516
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
18262 Issued in MA
Legal business name
HIGHLAND DENTAL DMD PC
Doing business as
Highlant Dental associates
Practice address
366 Broadway
202
Somerville, MA 02145-2812
Phone
(617) 623-7474
Fax
(617) 591-9747
NPI assigned
May 24, 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
Mr. Zoya Shteynberg
Title
Office Manager
Phone
(617) 623-7474

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 18262 MA Primary

Addresses

Primary practice location

366 Broadway
202
Somerville, MA 02145-2812

Mailing address

366 Broadway
202
Somerville, MA 02145-2812
Phone (617) 623-7474

Other names 1

  • Highlant Dental associates Doing business as

National Provider Directory

National Provider Directory

Locations

366 Broadway
#202
Somerville, MA 02145
Phone (617) 623-7474

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598976516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "366 BROADWAY",
            "address_2": "202",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021452812",
            "telephone_number": "617-623-7474",
            "fax_number": "617-591-9747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "366 BROADWAY",
            "address_2": "202",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021452812",
            "telephone_number": "617-623-7474",
            "fax_number": "617-591-9747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLAND DENTAL DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHTEYNBERG",
        "authorized_official_first_name": "ZOYA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "617-623-7474",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "18262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Highlant Dental associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Somerville, 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.