NPIMap

Organization Active NPI

General Dentistry of Cape Cod

  • General Practice Dentistry
  • Hyannis, MA
National Provider Identifier
1609062850
Registry record updated Sep 21, 2007
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Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
20412 Issued in MA
Legal business name
GENERAL DENTISTRY OF CAPE COD
Practice address
100 Independence Dr
Hyannis, MA 02601-1898
Phone
(508) 790-8300
Fax
(508) 790-9428
NPI assigned
Sep 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2007

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

Authorized official

Name
Diane C Elston
Title
Practice Administrator
Phone
(508) 790-8300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 20412 MA Primary

Addresses

Primary practice location

100 Independence Dr
Hyannis, MA 02601-1898

Mailing address

100 Independence Dr
Hyannis, MA 02601-1898
Phone (508) 790-8300

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1190332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190332800000",
    "number": "1609062850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 INDEPENDENCE DR",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026011898",
            "telephone_number": "508-790-8300",
            "fax_number": "508-790-9428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 INDEPENDENCE DR",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026011898",
            "telephone_number": "508-790-8300",
            "fax_number": "508-790-9428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERAL DENTISTRY OF CAPE COD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-21",
        "last_updated": "2007-09-21",
        "status": "A",
        "authorized_official_last_name": "ELSTON",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "508-790-8300"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "20412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyannis, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2007; 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.