NPIMap

Organization Active NPI

Walnut Dental Group

  • Dentist
  • Framingham, MA
National Provider Identifier
1710303201
Registry record updated Mar 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN22130 Issued in MA
Legal business name
WALNUT DENTAL GROUP
Practice address
235 Walnut St # S1
Framingham, MA 01702-7592
Phone
(508) 416-6118
NPI assigned
Mar 9, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2014

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

Authorized official

Name
Dr. Jungmee Youn
Title
President
Phone
(508) 416-6118

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X DN22130 MA Primary

Addresses

Primary practice location

235 Walnut St # S1
Framingham, MA 01702-7592

Mailing address

235 Walnut St # S1
Framingham, MA 01702-7592

National Provider Directory

National Provider Directory

Locations

235 Walnut St
#S1
Framingham, MA 01702
Phone (508) 416-6118

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": "1394323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394323200000",
    "number": "1710303201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 WALNUT ST # S1",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017027592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 WALNUT ST # S1",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017027592",
            "telephone_number": "508-416-6118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALNUT DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-09",
        "last_updated": "2014-03-09",
        "status": "A",
        "authorized_official_last_name": "YOUN",
        "authorized_official_first_name": "JUNGMEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-416-6118",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN22130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Framingham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2014; 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.