Organization Active NPI

Credimedllc

  • Public Health Dentistry
  • Cambridge, MA
National Provider Identifier
1629900253
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health DentistryTaxonomy code 1223D0001X
Legal business name
CREDIMEDLLC
Practice address
99 Spring St
Cambridge, MA 02141-1815
Phone
(617) 803-3831
Fax
(617) 749-4550
NPI assigned
May 29, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2026

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

Authorized official

Name
Juan Luis SanchezNPI 1306777966
Title
Managing Member and Founder
Phone
(617) 803-3831

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
Public Health DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223D0001X Primary

Addresses

Primary practice location

99 Spring St
Cambridge, MA 02141-1815

Mailing address

99 Spring St
Cambridge, MA 02141-1815
Phone (617) 803-3831

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1780012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780012800000",
    "number": "1629900253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 SPRING ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021411815",
            "telephone_number": "617-803-3831",
            "fax_number": "617-749-4550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 SPRING ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021411815",
            "telephone_number": "617-803-3831",
            "fax_number": "617-749-4550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREDIMEDLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-29",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "LUIS",
        "authorized_official_title_or_position": "MANAGING MEMBER AND FOUNDER",
        "authorized_official_telephone_number": "617-803-3831"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2026; 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.