Active NPI
J. Peter St. Clair, DMD, PC
- Dentist
- Rowley, MA
National Provider Identifier
1659461556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 18929
- Legal business name
- J. PETER ST. CLAIR, DMD, PC
- Practice address
- 151 Central St
Rowley, MA 01969-1322 - Phone
- (978) 948-2030
- NPI assigned
- Oct 13, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. J Peter St. Clair, DMD
- Title
- Owner/President
- Phone
- (978) 948-2030
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 18929 | MA | Primary |
Addresses
Primary practice location
151 Central St
Rowley, MA 01969-1322
Mailing address
151 Central St
Rowley, MA 01969-1322
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201209002842 | MA | DME Supplier - Oral Surgery - Dentist | 5193137560 | Practice locations: Rowley, MA |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Dentist
- Rowley, MA
- NPI 1831340173
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1659461556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "151 CENTRAL ST",
"city": "ROWLEY",
"state": "MA",
"postal_code": "019691322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 CENTRAL ST",
"city": "ROWLEY",
"state": "MA",
"postal_code": "019691322",
"telephone_number": "978-948-2030"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "J. PETER ST. CLAIR, DMD, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-13",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ST. CLAIR",
"authorized_official_first_name": "J PETER",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "978-948-2030",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "18929",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rowley, 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.