NPIMap

Organization Active NPI

Spring Hill Dental

  • General Practice Dentistry
  • Somerville, MA
National Provider Identifier
1639785777
Registry record updated Sep 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SPRING HILL DENTAL
Practice address
174 Highland Ave Ste 1
Somerville, MA 02143-1546
Phone
(617) 666-1810
Fax
(617) 666-5073
NPI assigned
Sep 22, 2020
Last updated
Sep 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2020

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

Authorized official

Name
Dr. Pranav Dev Kaushish, DMDNPI 1245689421
Title
Owner
Phone
(678) 576-3664

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 DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

174 Highland Ave Ste 1
Somerville, MA 02143-1546

Mailing address

174 Highland Ave Ste 1
Somerville, MA 02143-1546
Phone (617) 666-1810

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pkaushish@protonmail.com Direct

National Provider Directory

National Provider Directory

Locations

174 Highland Ave
Ste 1
Somerville, MA 02143
Phone (617) 666-1810

Practitioners & affiliated clinicians

Practitioners 1

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": "1600732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600732800000",
    "number": "1639785777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 HIGHLAND AVE STE 1",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021431546",
            "telephone_number": "617-666-1810",
            "fax_number": "617-666-5073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 HIGHLAND AVE STE 1",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021431546",
            "telephone_number": "617-666-1810",
            "fax_number": "617-666-5073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING HILL DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-22",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A",
        "authorized_official_last_name": "KAUSHISH",
        "authorized_official_first_name": "PRANAV",
        "authorized_official_middle_name": "DEV",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-576-3664",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pkaushish@protonmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "174 Highland Ave Ste 1",
            "city": "Somerville",
            "state": "MA",
            "country_code": "US",
            "postal_code": "021431546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Somerville, MA

Sources for this page

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