NPIMap

Organization Active NPI

Lexington Dental Care, Brenda J Nishimura, DDS, LLC

  • General Practice Dentistry
  • Lexington, MA
National Provider Identifier
1619427564
Registry record updated Oct 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
15845 Issued in MA
Legal business name
LEXINGTON DENTAL CARE, BRENDA J NISHIMURA, DDS, LLC
Practice address
922 Waltham St Ste 205
Lexington, MA 02421-8019
Phone
(978) 726-6156
Fax
(781) 861-6534
NPI assigned
Oct 4, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2016

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

Authorized official

Name
Dr. Brenda J Nishimura, DDSNPI 1225051113
Title
Owner
Phone
(781) 861-1444

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 15845 MA Primary

Addresses

Primary practice location

922 Waltham St Ste 205
Lexington, MA 02421-8019

Mailing address

922 Waltham St Ste 205
Lexington, MA 02421-8019
Phone (978) 726-6156

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1475539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475539200000",
    "number": "1619427564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "922 WALTHAM ST STE 205",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024218019",
            "telephone_number": "978-726-6156",
            "fax_number": "781-861-6534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "922 WALTHAM ST STE 205",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024218019",
            "telephone_number": "978-726-6156",
            "fax_number": "781-861-6534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEXINGTON DENTAL CARE, BRENDA J NISHIMURA, DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-04",
        "last_updated": "2016-10-04",
        "status": "A",
        "authorized_official_last_name": "NISHIMURA",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-861-1444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "15845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2016; 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.