NPIMap

Organization Active NPI

Visiting Dental Associates of Ma Inc

  • Public Health or Welfare Agency
  • Assonet, MA
National Provider Identifier
1669097150
Registry record updated Jun 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
VISITING DENTAL ASSOCIATES OF MA INC
Practice address
15 Slab Bridge Rd
Assonet, MA 02702-1434
Phone
(508) 813-6034
NPI assigned
Jun 10, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2020

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

Authorized official

Name
Cathy J Grinham, RDHNPI 1275846875
Title
Executive Director
Phone
(888) 236-3536

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 or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

15 Slab Bridge Rd
Assonet, MA 02702-1434

Mailing address

15 Slab Bridge Rd
Assonet, MA 02702-1434
Phone (508) 813-6034

Other names 2

  • Visiting Dental Associates of MA LLC Former legal business name
  • Visiting Dental Of MA LLC Former legal business name

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": "1591747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591747200000",
    "number": "1669097150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 SLAB BRIDGE RD",
            "city": "ASSONET",
            "state": "MA",
            "postal_code": "027021434",
            "telephone_number": "508-813-6034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 SLAB BRIDGE RD",
            "city": "ASSONET",
            "state": "MA",
            "postal_code": "027021434",
            "telephone_number": "508-813-6034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISITING DENTAL ASSOCIATES OF MA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-10",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A",
        "authorized_official_last_name": "GRINHAM",
        "authorized_official_first_name": "CATHY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "888-236-3536",
        "authorized_official_credential": "RDH"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visiting Dental Associates of MA LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Visiting Dental Of MA LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Assonet, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.