NPIMap

Organization Active NPI

Comprehensivedentalcare

  • General Practice Dentistry
  • Dorchester Center, MA
National Provider Identifier
1629273149
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
COMPREHENSIVEDENTALCARE
Practice address
786 Adams St
Dorchester Center, MA 02124-5134
Phone
(617) 288-7299
NPI assigned
Jun 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Que Thi DinhNPI 1538382619
Title
DMD
Phone
(617) 288-7299

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 SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

786 Adams St
Dorchester Center, MA 02124-5134

Mailing address

786 Adams St
Dorchester Center, MA 02124-5134
Phone (617) 288-7299

Other identifiers 1

IdentifierTypeStateIssuer
9782524MedicaidMA

National Provider Directory

National Provider Directory
Tax ID family
Comprehensive Dental Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

786 Adams St
Dorchester Center, MA 02124
Phone (617) 288-7299

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": "1181865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629273149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "786 ADAMS ST",
            "city": "DORCHESTER CENTER",
            "state": "MA",
            "postal_code": "021245134",
            "telephone_number": "617-288-7299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "786 ADAMS ST",
            "city": "DORCHESTER CENTER",
            "state": "MA",
            "postal_code": "021245134",
            "telephone_number": "617-288-7299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVEDENTALCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DINH",
        "authorized_official_first_name": "QUE",
        "authorized_official_middle_name": "THI",
        "authorized_official_title_or_position": "DMD",
        "authorized_official_telephone_number": "617-288-7299"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9782524",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dorchester Center, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.