Mystic Valley Orthodontics

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

19234 Issued in MA

Legal business name

MYSTIC VALLEY ORTHODONTICS

Practice address

80 High St
Suite 2
Medford, MA 02155-3872

Phone

(781) 396-9230

Fax

(781) 391-6090

NPI assigned

Mar 18, 2008

Last updated

Mar 18, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Joy Elizabeth Kasparian-Federico, D.M.D.NPI 1235259417

Title

NA

Phone

(781) 396-9230

Specialties & licenses 1

Addresses

Locations

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.

• Joy Elizabeth Kasparian Federico, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Medford, MA
  • NPI 1235259417
  NPD (past) Authorized official

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205798400000",
    "number": "1679744668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 HIGH ST",
            "address_2": "SUITE 2",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021553872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 HIGH ST",
            "address_2": "SUITE 2",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021553872",
            "telephone_number": "781-396-9230",
            "fax_number": "781-391-6090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYSTIC VALLEY ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-18",
        "last_updated": "2008-03-18",
        "status": "A",
        "authorized_official_last_name": "KASPARIAN-FEDERICO",
        "authorized_official_first_name": "JOY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "NA",
        "authorized_official_telephone_number": "781-396-9230",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MA",
            "license": "19234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mystic Cardiology Associates Inc
• Mystic Medical Group, Inc.
• Mystic Valley Chiropractic Office, P.C.
• Mystic Valley Dermatology Associates, P.C.
• Mystic Valley Medical Associates Inc.
• Mystick Women's Health, Inc.
• Saima Nabi, PT, MS
• Olivia Nabiyiindi
• Michelle Nagly
• Chander M Nagpaul, M.D.

• Orthodontics and Dentofacial Orthopedics Dentistry in Medford, MA
• Providers in Medford, MA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.