Dr. Richard a Short DMD, Dr. Ronni Ann Schnell DMD

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

DR. RICHARD A SHORT DMD, DR. RONNI ANN SCHNELL DMD

Practice address

92 High St
Suite DH 11-12
Medford, MA 02155-3850

Phone

(781) 396-4131

Fax

(781) 396-2064

NPI assigned

Feb 27, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Richard A Short, DMD

Title

Provider/Owner

Phone

(781) 396-4131

Specialties & licenses 1

Addresses

Other names 1

• The Classic Smile Doing business as

Tax ID family

Dr Richard a Short DMD Dr Ronni Ann Schnell DMD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• R.a.Short & R.a. Schnell D.M.D.

  • General Practice Dentistry
  • Medford, MA
  • NPI 1356460471
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1488153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488153600000",
    "number": "1679013569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 HIGH ST",
            "address_2": "SUITE DH 11-12",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021553850",
            "telephone_number": "781-396-4131",
            "fax_number": "781-396-2064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 HIGH ST",
            "address_2": "SUITE DH 11-12",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021553850",
            "telephone_number": "781-396-4131",
            "fax_number": "781-396-2064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. RICHARD A SHORT DMD, DR. RONNI ANN SCHNELL DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-27",
        "last_updated": "2017-02-27",
        "status": "A",
        "authorized_official_last_name": "SHORT",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "781-396-4131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Classic Smile",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Diane M Doucette, FNP
• Mark James Doughtie, ATC
• Meghan Colleen Dowd Murray, LICSW
• Dr Anthony W Iraca of Medford Inc
• Dr. Farzad T Parsi DDS PC
• Dr. Young Park Dental Group - Medford, PLLC
• Dr.Eric Gheewalla
• Morgan Drew
• Henry Duarte
• Shauna Marie Dube, MS CCC-SLP

• Dentist in Medford, MA
• Providers in Medford, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2017; 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.