NPIMap

Organization Active NPI

Steven D. Spitz, DMD,LLC

  • Dentist
  • Pembroke, MA
National Provider Identifier
1619218203
Registry record updated Mar 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
18722 Issued in MA
Legal business name
STEVEN D. SPITZ, DMD,LLC
Practice address
31 Schoosett St
Suite 101
Pembroke, MA 02359-1877
Phone
(781) 826-7577
Fax
(781) 826-8970
NPI assigned
Mar 7, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2013

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

Authorized official

Name
Ms. Paige Polk
Title
Office Manager
Phone
(781) 826-7577

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 18722 MA Primary

Addresses

Primary practice location

31 Schoosett St
Suite 101
Pembroke, MA 02359-1877

Mailing address

31 Schoosett St
Suite 101
Pembroke, MA 02359-1877
Phone (781) 826-7577

Other names 1

  • Smileboston Pembroke Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1362614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362614400000",
    "number": "1619218203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 SCHOOSETT ST",
            "address_2": "SUITE 101",
            "city": "PEMBROKE",
            "state": "MA",
            "postal_code": "023591877",
            "telephone_number": "781-826-7577",
            "fax_number": "781-826-8970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 SCHOOSETT ST",
            "address_2": "SUITE 101",
            "city": "PEMBROKE",
            "state": "MA",
            "postal_code": "023591877",
            "telephone_number": "781-826-7577",
            "fax_number": "781-826-8970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN D. SPITZ, DMD,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-07",
        "last_updated": "2013-03-07",
        "status": "A",
        "authorized_official_last_name": "POLK",
        "authorized_official_first_name": "PAIGE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "781-826-7577",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MA",
            "license": "18722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smileboston Pembroke",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pembroke, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2013; 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.