NPIMap

Organization Active NPI

Lynn Pediatric Dentistry and Orthodontics, LLC

Doing business as Drs. Park, Perlman & Koidin

  • Pediatric Dentistry
  • Lynn, MA
National Provider Identifier
1619404852
Registry record updated May 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
LYNN PEDIATRIC DENTISTRY AND ORTHODONTICS, LLC
Doing business as
Drs. Park, Perlman & Koidin
Practice address
77 Broad St
Lynn, MA 01902-5003
Phone
(781) 599-2900
NPI assigned
May 18, 2017
Last updated
May 18, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2017

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

Authorized official

Name
Dr. Hubert J Park, DMD, MPHNPI 1790077857
Title
President
Phone
(617) 895-6700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X Primary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X

Addresses

Primary practice location

77 Broad St
Lynn, MA 01902-5003

Mailing address

9 Montague St Unit C
Cambridge, MA 02139-3721

Other names 1

  • Drs. Park, Perlman & Koidin Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1495065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1495065600000",
    "number": "1619404852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 MONTAGUE ST UNIT C",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021393721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 BROAD ST",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019025003",
            "telephone_number": "781-599-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNN PEDIATRIC DENTISTRY AND ORTHODONTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-18",
        "last_updated": "2017-05-18",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "HUBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-895-6700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MPH"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Drs. Park, Perlman & Koidin",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lynn, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2017; 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.