Organization Active NPI

Hanover Dental PC

  • Dentist
  • Hanover, MA
National Provider Identifier
1679776652
Registry record updated Jan 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN20941 Issued in MA
Legal business name
HANOVER DENTAL PC
Practice address
225 Hanover St
Hanover, MA 02339-2208
Phone
(781) 826-2961
Fax
(781) 826-8346
NPI assigned
Jun 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2014

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

Authorized official

Name
Dr. Rashmi Vasudeva, DMDNPI 1063684595
Title
General Dentist
Phone
(781) 826-2961

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: 193200000X MULTI-SPECIALTY GROUP 122300000X DN20941 MA Primary

Addresses

Primary practice location

225 Hanover St
Hanover, MA 02339-2208

Mailing address

225 Hanover St
Hanover, MA 02339-2208
Phone (781) 826-2961

Other identifiers 1

IdentifierTypeStateIssuer
0203670OtherMAMASS HEALTH

National Provider Directory

National Provider Directory

Locations

225 Hanover St
Hanover, MA 02339
Phone (781) 826-2961

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": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389830400000",
    "number": "1679776652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 HANOVER ST",
            "city": "HANOVER",
            "state": "MA",
            "postal_code": "023392208",
            "telephone_number": "781-826-2961",
            "fax_number": "781-826-8346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 HANOVER ST",
            "city": "HANOVER",
            "state": "MA",
            "postal_code": "023392208",
            "telephone_number": "781-826-2961",
            "fax_number": "781-826-8346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANOVER DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "last_updated": "2014-01-16",
        "status": "A",
        "authorized_official_last_name": "VASUDEVA",
        "authorized_official_first_name": "RASHMI",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "781-826-2961",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN20941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASS HEALTH",
            "identifier": "0203670",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanover, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2014; 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.