Organization Active NPI

Radiant Family Dental of Burlington PLLC

  • General Practice Dentistry
  • Burlington, MA
National Provider Identifier
1689444895
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
RADIANT FAMILY DENTAL OF BURLINGTON PLLC
Practice address
279 Cambridge St Ste 3
Burlington, MA 01803-2548
Phone
(781) 272-3340
NPI assigned
Jan 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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

Authorized official

Name
Chad Hendricks
Title
Credentialing
Phone
(612) 859-0444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

279 Cambridge St Ste 3
Burlington, MA 01803-2548

Mailing address

279 Cambridge St Ste 3
Burlington, MA 01803-2548
Phone (781) 272-3340

Other names 1

  • Radiant Family Dental of Burlington Doing business as

National Provider Directory

National Provider Directory

Locations

279 Cambridge St
Ste 3
Burlington, MA 01803
Phone (781) 272-3340

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": "1704672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704672000000",
    "number": "1689444895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "279 CAMBRIDGE ST STE 3",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018032548",
            "telephone_number": "781-272-3340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "279 CAMBRIDGE ST STE 3",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018032548",
            "telephone_number": "781-272-3340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIANT FAMILY DENTAL OF BURLINGTON PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-08",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A",
        "authorized_official_last_name": "HENDRICKS",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "612-859-0444"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Radiant Family Dental of Burlington",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burlington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; 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.