NPIMap

Organization Active NPI

Lumiere Dental Spa, LLC

  • General Practice Dentistry
  • Quincy, MA
National Provider Identifier
1629346499
Registry record updated Dec 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN1855605 Issued in MA
Legal business name
LUMIERE DENTAL SPA, LLC
Practice address
495 Sea St
Quincy, MA 02169-2742
Phone
(617) 847-1400
Fax
(617) 847-1500
NPI assigned
Dec 8, 2011
Last updated
Dec 8, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2011

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

Authorized official

Name
Dr. Neda Hovaizi, DDSNPI 1518261718
Title
Dentist
Phone
(434) 531-5817

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN1855605 MA Primary

Addresses

Primary practice location

495 Sea St
Quincy, MA 02169-2742

Mailing address

495 Sea St
Quincy, MA 02169-2742
Phone (617) 847-1400

National Provider Directory

National Provider Directory

Locations

495 Sea St
Quincy, MA 02169
Phone (617) 847-1400

Practitioners & affiliated clinicians

Practitioners 3

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": "1323302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323302400000",
    "number": "1629346499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 SEA ST",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021692742",
            "telephone_number": "617-847-1400",
            "fax_number": "617-847-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 SEA ST",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021692742",
            "telephone_number": "617-847-1400",
            "fax_number": "617-847-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMIERE DENTAL SPA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-08",
        "last_updated": "2011-12-08",
        "status": "A",
        "authorized_official_last_name": "HOVAIZI",
        "authorized_official_first_name": "NEDA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "434-531-5817",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1855605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; 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.