Children'S Dental Associates

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

CHILDREN'S DENTAL ASSOCIATES

Practice address

80 High St
Medford, MA 02155-3872

Phone

(781) 391-8300

NPI assigned

Nov 10, 2009

Organization subpart

Yes

Parent organization

CHILDREN'S DENTAL ASSOCIATES (MEDFORD)As reported in NPPES

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

Authorized official

Name

Dr. Robert Frank, DMD

Title

President

Phone

(781) 391-8300

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Childrens Dental Associates Westford3 organizations share this tax ID, including this one

Part of

Childrens Dental Associates Westford

Other organizations with this tax ID 2

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

• Childrens Dental Associates (Westford)

  • Pediatric Dentistry
  • Westford, MA
  • NPI 1225260276
  NPD tax ID
• David M. Petrarca, DDS & Sungyon Bang, DMD, P.C.

  • Pediatric Dentistry
  • Medford, MA
  • NPI 1316915788
  NPD tax ID

Locations

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

{
    "created_epoch": "1257811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257811200000",
    "number": "1609103795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 HIGH STREET",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "02155",
            "telephone_number": "781-391-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 HIGH ST",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021553872",
            "telephone_number": "781-391-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S DENTAL ASSOCIATES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHILDREN'S DENTAL ASSOCIATES (MEDFORD)",
        "enumeration_date": "2009-11-10",
        "last_updated": "2009-11-10",
        "status": "A",
        "authorized_official_last_name": "FRANK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-391-8300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9729372",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cassandra M Chery
• Colleen Chesarone, SLP
• Lynne Chevalier-Ray, LICSW
• Georgiana Chevry, M.ED.,C.L.C.
• Katharine Chiasson
• Socorro Ching
• Fehmida A Chipty, M.D.
• Sakhi Chitalia
• Samantha Chmura, OTR
• Eric Woosung Cho, DMD

• Pediatric Dentistry in Medford, MA
• Providers in Medford, MA by specialty
• Pediatric Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.