Active NPI
Convenientmd LLC
- Urgent Care Clinic/Center
- Falmouth, MA
National Provider Identifier
1710463245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- CONVENIENTMD LLC
- Practice address
- 40 Davis Straits
Falmouth, MA 02540-3906 - Phone
- (774) 255-3010
- NPI assigned
- Jul 18, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gareth Dickens
- Title
- Co-Ceo
- Phone
- (603) 501-0863
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | Primary |
Addresses
Primary practice location
40 Davis Straits
Falmouth, MA 02540-3906
Mailing address
111 New Hampshire Ave
Portsmouth, NH 03801-2864
Phone (603) 410-6700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20181115000859 | MA | Part B Supplier - Clinic/Group Practice | 2062667033 |
Receives reassigned benefits from 1 practitioner 15 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Plainville, MA; Weymouth, MA; Westborough, MA; Saugus, MA; Quincy, MA; Pittsfield, MA; Pembroke, MA; Peabody, MA… |
Other NPIs on the same Medicare enrollment 15
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531872000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1531872000000",
"number": "1710463245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 NEW HAMPSHIRE AVE",
"city": "PORTSMOUTH",
"state": "NH",
"postal_code": "038012864",
"telephone_number": "603-410-6700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 DAVIS STRAITS",
"city": "FALMOUTH",
"state": "MA",
"postal_code": "025403906",
"telephone_number": "774-255-3010"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONVENIENTMD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-07-18",
"last_updated": "2018-07-18",
"status": "A",
"authorized_official_last_name": "DICKENS",
"authorized_official_first_name": "GARETH",
"authorized_official_title_or_position": "CO-CEO",
"authorized_official_telephone_number": "603-501-0863"
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Falmouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.