NPIMap

Organization Active NPI

Polo Dental, P.C.

  • Dentist
  • Westfield, MA
National Provider Identifier
1649448382
Registry record updated Feb 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
18587 Issued in MA
Legal business name
POLO DENTAL, P.C.
Practice address
15 Noble Ave
Westfield, MA 01085-3673
Phone
(413) 568-1698
Fax
(413) 568-6198
NPI assigned
Feb 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2008

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

Authorized official

Name
Dr. Paul Sebastian Polo Jr., D.M.D.NPI 1881677433
Title
President
Phone
(413) 568-1698

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 18587 MA Primary

Addresses

Primary practice location

15 Noble Ave
Westfield, MA 01085-3673

Mailing address

15 Noble Ave
Westfield, MA 01085-3673
Phone (413) 568-1698

National Provider Directory

National Provider Directory

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": "1203033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203033600000",
    "number": "1649448382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 NOBLE AVE",
            "city": "WESTFIELD",
            "state": "MA",
            "postal_code": "010853673",
            "telephone_number": "413-568-1698",
            "fax_number": "413-568-6198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 NOBLE AVE",
            "city": "WESTFIELD",
            "state": "MA",
            "postal_code": "010853673",
            "telephone_number": "413-568-1698",
            "fax_number": "413-568-6198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLO DENTAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-15",
        "last_updated": "2008-02-15",
        "status": "A",
        "authorized_official_last_name": "POLO",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "SEBASTIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "413-568-1698",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MA",
            "license": "18587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2008; 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.