NPIMap

Organization Active NPI

Philip a Struzziero

  • Dentist
  • Braintree, MA
National Provider Identifier
1700949385
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN129181 Issued in MA
Legal business name
PHILIP A STRUZZIERO
Practice address
575 Washington St
Suite 152
Braintree, MA 02184-5620
Phone
(781) 356-8111
Fax
(781) 356-9036
NPI assigned
Dec 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Philip A Struzziero, DMDNPI 1174604086
Title
Owner
Phone
(781) 356-8111

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
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X DN129181 MA Primary

Addresses

Primary practice location

575 Washington St
Suite 152
Braintree, MA 02184-5620

Mailing address

575 Washington St
Suite 152
Braintree, MA 02184-5620
Phone (781) 356-8111

National Provider Directory

National Provider Directory

Locations

575 Washington St
Ste 152
Braintree, MA 02184
Phone (781) 356-8111

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": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700949385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 WASHINGTON ST",
            "address_2": "SUITE 152",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021845620",
            "telephone_number": "781-356-8111",
            "fax_number": "781-356-9036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 WASHINGTON ST",
            "address_2": "SUITE 152",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021845620",
            "telephone_number": "781-356-8111",
            "fax_number": "781-356-9036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP A STRUZZIERO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STRUZZIERO",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-356-8111",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN129181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Braintree, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.