NPIMap

Organization Active NPI

Friendly Dental Center, PC

  • Dentist
  • Chelmsford, MA
National Provider Identifier
1699247304
Registry record updated Jan 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
FRIENDLY DENTAL CENTER, PC
Practice address
221 Chelmsford St Ste 5
Chelmsford, MA 01824-2300
Phone
(978) 256-8012
Fax
(978) 250-8984
NPI assigned
Dec 19, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2019

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

Authorized official

Name
Dr. Jeff Shu, DMD
Title
Owner
Phone
(978) 256-8012

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

221 Chelmsford St Ste 5
Chelmsford, MA 01824-2300

Mailing address

221 Chelmsford St Ste 5
Chelmsford, MA 01824-2300
Phone (978) 256-8012

National Provider Directory

National Provider Directory

Locations

221 Chelmsford St
Ste 5
Chelmsford, MA 01824
Phone (978) 256-8012

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": "1545177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546560000000",
    "number": "1699247304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 CHELMSFORD ST STE 5",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018242300",
            "telephone_number": "978-256-8012",
            "fax_number": "978-250-8984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 CHELMSFORD ST STE 5",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018242300",
            "telephone_number": "978-256-8012",
            "fax_number": "978-250-8984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIENDLY DENTAL CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-19",
        "last_updated": "2019-01-04",
        "status": "A",
        "authorized_official_last_name": "SHU",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-256-8012",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chelmsford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2019; 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.