Organization Active NPI

LP Dental, Inc.

  • General Practice Dentistry
  • Swampscott, MA
National Provider Identifier
1700378270
Registry record updated May 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
LP DENTAL, INC.
Practice address
990 Paradise Rd
Swampscott, MA 01907-1395
Phone
(978) 223-3742
NPI assigned
May 31, 2018
Last updated
May 31, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2018

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

Authorized official

Name
Anna Pukhovitskaya, DMDNPI 1891136859
Title
Owner
Phone
(978) 223-3742

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

990 Paradise Rd
Swampscott, MA 01907-1395

Mailing address

591 E Broadway
South Boston, MA 02127-4404
Phone (617) 268-5638

Other identifiers 1

IdentifierTypeStateIssuer
1356358014OtherGENERAL DENTIST

National Provider Directory

National Provider Directory

Locations

591 E Broadway
South Boston, MA 02127
Phone (617) 268-5638

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1527724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527724800000",
    "number": "1700378270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "591 E BROADWAY",
            "city": "SOUTH BOSTON",
            "state": "MA",
            "postal_code": "021274404",
            "telephone_number": "617-268-5638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 PARADISE RD",
            "city": "SWAMPSCOTT",
            "state": "MA",
            "postal_code": "019071395",
            "telephone_number": "978-223-3742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LP DENTAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-31",
        "last_updated": "2018-05-31",
        "status": "A",
        "authorized_official_last_name": "PUKHOVITSKAYA",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-223-3742",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GENERAL DENTIST",
            "identifier": "1356358014",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Swampscott, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.