Organization Active NPI

Andrew J Molak DMD

  • Dentist
  • Seekonk, MA
National Provider Identifier
1649480310
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
20926 Issued in MA
Legal business name
ANDREW J MOLAK DMD
Practice address
659 Fall River Ave
Seekonk, MA 02771-5620
Phone
(508) 336-4525
NPI assigned
May 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Andrew Joseph Molak, DMDNPI 1093742561
Title
Owner
Phone
(508) 336-4525

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 20926 MA Primary

Addresses

Primary practice location

659 Fall River Ave
Seekonk, MA 02771-5620

Mailing address

659 Fall River Ave
Seekonk, MA 02771-5620
Phone (508) 336-4525

Other identifiers 2

IdentifierTypeStateIssuer
X11972OtherMA1
8878-1OtherRI2

National Provider Directory

National Provider Directory

Locations

659 Fall River Ave
Seekonk, MA 02771
Phone (508) 336-4525

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": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649480310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "659 FALL RIVER AVE",
            "city": "SEEKONK",
            "state": "MA",
            "postal_code": "027715620",
            "telephone_number": "508-336-4525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "659 FALL RIVER AVE",
            "city": "SEEKONK",
            "state": "MA",
            "postal_code": "027715620",
            "telephone_number": "508-336-4525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW J MOLAK DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOLAK",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-336-4525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MA",
            "license": "20926",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1",
            "identifier": "X11972",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "2",
            "identifier": "8878-1",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seekonk, MA

Sources for this page

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