Organization Active NPI

Dr. Shahram Navid D.M.D., PC

  • Dental Clinic/Center
  • Peabody, MA
National Provider Identifier
1629449848
Registry record updated Apr 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
1856383 Issued in MA
Legal business name
DR. SHAHRAM NAVID D.M.D., PC
Practice address
210 Andover Street
Unit P025
Peabody, MA 01960-1647
Phone
(978) 532-5550
Fax
(978) 532-8078
NPI assigned
Oct 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2016

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

Authorized official

Name
Mr. Shahram Navid, D.M.D.
Title
President
Phone
(978) 532-5550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 1856383 MA Primary

Addresses

Primary practice location

210 Andover Street
Unit P025
Peabody, MA 01960-1647

Mailing address

210 Andover St
Unit P025
Peabody, MA 01960-1647
Phone (978) 532-5550

Other names 1

  • Navid Family Dental & Associates Doing business as

National Provider Directory

National Provider Directory

Locations

210 Andover St
Ste P025
Peabody, MA 01960
Phone (978) 532-5550

NPI Registry JSON

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

{
    "created_epoch": "1444780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461024000000",
    "number": "1629449848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 ANDOVER ST",
            "address_2": "UNIT P025",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019601647",
            "telephone_number": "978-532-5550",
            "fax_number": "978-532-8078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 ANDOVER STREET",
            "address_2": "UNIT P025",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019601647",
            "telephone_number": "978-532-5550",
            "fax_number": "978-532-8078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. SHAHRAM NAVID D.M.D., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-14",
        "last_updated": "2016-04-19",
        "status": "A",
        "authorized_official_last_name": "NAVID",
        "authorized_official_first_name": "SHAHRAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-532-5550",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MA",
            "license": "1856383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Navid Family Dental & Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Peabody, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.