Lynn Street Family Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

LYNN STREET FAMILY DENTAL

Practice address

117 Lynn St
Peabody, MA 01960-5703

Phone

(617) 459-8816

NPI assigned

May 7, 2024

Organization subpart

No

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

Authorized official

Name

Ahram Shin, DMDNPI 1992101026

Title

Dentist

Phone

(617) 459-8816

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ahram Shin

  • Dentist
  • Providence, RI
  • NPI 1992101026
  NPD Authorized official

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

{
    "created_epoch": "1715040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715040000000",
    "number": "1699523522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 HOPE AVE APT 407",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024532746",
            "telephone_number": "617-459-8816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 LYNN ST",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019605703",
            "telephone_number": "617-459-8816"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "80 Hope Ave Apt 407",
            "address_purpose": "LOCATION",
            "city": "Waltham",
            "state": "MA",
            "postal_code": "024532746",
            "country_code": "US",
            "telephone_number": "617-459-8816",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LYNN STREET FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-07",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A",
        "authorized_official_last_name": "SHIN",
        "authorized_official_first_name": "AHRAM",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "617-459-8816",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Lutes, COTA
• Luxottica of America Inc.
• Luxottica of America Inc.
• Trudy Lynch
• Lynn Community Health, Inc.
• Moira Mary Macdonald
• Susan M Macdonald, M.D.
• Gabriella Machado
• Jason Machado
• Ana Raquel Macias, MD

• Dental Clinic/Center in Peabody, MA
• Providers in Peabody, MA by specialty
• Dental Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.