Beverly Health Department Dental Clinic

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

License

44FV Issued in MA

Legal business name

BEVERLY HEALTH DEPARTMENT DENTAL CLINIC

Practice address

90 Colon St
Beverly, MA 01915-3604

Phone

(978) 921-8591

Fax

(978) 922-5695

NPI assigned

Aug 14, 2008

Organization subpart

Yes

Parent organization

CITY OF BEVERLY HEALTH DEPARTIMENTAs reported in NPPES

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

Authorized official

Name

Mr. William T. Burke III, RS. CHO.

Title

Director of Public Health

Phone

(978) 921-8591

Specialties & licenses 1

Addresses

Tax ID family

Beverly Health Department Dental Clinic2 organizations share this tax ID, including this one

Part of

Beverly Health Department Dental Clinic

Other organizations with this tax ID 1

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

• City of Beverly

  • Local Education Agency (LEA)
  • Beverly, MA
  • NPI 1295865780
  NPD tax ID

Locations

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

{
    "created_epoch": "1218672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218672000000",
    "number": "1629224241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 COLON ST",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019153604",
            "telephone_number": "978-921-8591",
            "fax_number": "978-922-5695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 COLON ST",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019153604",
            "telephone_number": "978-921-8591",
            "fax_number": "978-922-5695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVERLY HEALTH DEPARTMENT DENTAL CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CITY OF BEVERLY HEALTH DEPARTIMENT",
        "enumeration_date": "2008-08-14",
        "last_updated": "2008-08-14",
        "status": "A",
        "authorized_official_last_name": "BURKE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "DIRECTOR OF PUBLIC HEALTH",
        "authorized_official_telephone_number": "978-921-8591",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "RS. CHO."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "MA",
            "license": "44FV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beverly Dental Care PC
• Beverly Dental Group LLC
• Beverly Dentistry and Braces PC
• Beverly Family Chiropractic, P.C. (Gauthier Chiropractic Office)
• Beverly Farms Dental PLLC
• Beverly Hospital
• Beverly Hospital
• Beverly Independent Eye Care, Inc.
• Beverly M. Shafer, MD
• Beverly Pathology Associates, Inc.

• Public Health or Welfare Agency in Beverly, MA
• Providers in Beverly, MA by specialty
• Public Health or Welfare Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.