Beverly Pediatrics Association

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

48680 Issued in MA

Legal business name

BEVERLY PEDIATRICS ASSOCIATION

Practice address

75 Herrick St
Suite 116
Beverly, MA 01915-5903

Phone

(978) 922-3208

Fax

(978) 927-7429

NPI assigned

Jan 17, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Christine C Tentindo, M.D.

Title

Pediatrician

Phone

(978) 922-3208

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1200528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200528000000",
    "number": "1619153897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 HERRICK ST",
            "address_2": "SUITE 116",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019155903",
            "telephone_number": "978-922-3208",
            "fax_number": "978-927-7429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 HERRICK ST",
            "address_2": "SUITE 116",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019155903",
            "telephone_number": "978-922-3208",
            "fax_number": "978-927-7429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVERLY PEDIATRICS ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-17",
        "last_updated": "2008-01-17",
        "status": "A",
        "authorized_official_last_name": "TENTINDO",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PEDIATRICIAN",
        "authorized_official_telephone_number": "978-922-3208",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "48680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beverly Independent Eye Care, Inc.
• Beverly M. Shafer, MD
• Beverly Pathology Associates, Inc.
• Beverly Pathology Associates, P.C.
• Beverly Pediatric Assoicates
• Beverly Podiatry Inc. (Timothy Tobin D.P.M.)
• Beverly Podiatry, Inc
• Beverly Radiology Associates, Inc.
• Beverly School for the Deaf (The Childrens Center for Communication)
• Beverly Shafer, MD, PC

• Pediatrics Physician in Beverly, MA
• Providers in Beverly, MA by specialty
• Pediatrics Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2008; 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.