NPIMap

Organization Active NPI

Beacon Dental Health PC

  • Dental Clinic/Center
  • West Bridgewater, MA
National Provider Identifier
1699277368
Registry record updated Mar 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DN21699 Issued in MA
Legal business name
BEACON DENTAL HEALTH PC
Practice address
399 W Center St
West Bridgewater, MA 02379-1623
Phone
(617) 418-6940
NPI assigned
Mar 8, 2018
Organization subpart
Yes
Parent organization
BEACON DENTAL HEALTH PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 8, 2018

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

Authorized official

Name
Rishi Shukla
Title
Authorized Administrator
Phone
(617) 418-6940

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DN21699 MA Primary

Addresses

Primary practice location

399 W Center St
West Bridgewater, MA 02379-1623

Mailing address

198 Tremont St Ste 436
Boston, MA 02116-4705

Other names 1

  • West Bridgewater Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Beacon Dental Health13 organizations share this tax ID, including this one
Part of
Beacon Dental Health

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1520467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520467200000",
    "number": "1699277368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "198 TREMONT ST STE 436",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021164705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 W CENTER ST",
            "city": "WEST BRIDGEWATER",
            "state": "MA",
            "postal_code": "023791623",
            "telephone_number": "617-418-6940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON DENTAL HEALTH PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BEACON DENTAL HEALTH PC",
        "enumeration_date": "2018-03-08",
        "last_updated": "2018-03-08",
        "status": "A",
        "authorized_official_last_name": "SHUKLA",
        "authorized_official_first_name": "RISHI",
        "authorized_official_title_or_position": "AUTHORIZED ADMINISTRATOR",
        "authorized_official_telephone_number": "617-418-6940"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MA",
            "license": "DN21699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Bridgewater Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Bridgewater, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2018; 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.