NPIMap

Organization Active NPI

Healthy Teeth P.C.

  • Dental Clinic/Center
  • Lowell, MA
National Provider Identifier
1699227280
Registry record updated Oct 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DN1855311 Issued in MA
Legal business name
HEALTHY TEETH P.C.
Practice address
978 Gorham St
Lowell, MA 01852-5051
Phone
(978) 954-5106
NPI assigned
Oct 29, 2016
Last updated
Oct 29, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2016

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

Authorized official

Name
Premal Patel
Title
President
Phone
(978) 954-5106

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DN1855311 MA Primary

Addresses

Primary practice location

978 Gorham St
Lowell, MA 01852-5051

Mailing address

978 Gorham St
Lowell, MA 01852-5051

National Provider Directory

National Provider Directory

Locations

978 Gorham St
Lowell, MA 01852
Phone (978) 954-5106

NPI Registry JSON

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

{
    "created_epoch": "1477699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477699200000",
    "number": "1699227280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "978 GORHAM ST",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018525051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "978 GORHAM ST",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018525051",
            "telephone_number": "978-954-5106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY TEETH P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-29",
        "last_updated": "2016-10-29",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "PREMAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-954-5106"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MA",
            "license": "DN1855311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowell, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2016; 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.