Active NPI
The Center for Integrative Nutrition & Culinary Care, LLC
Doing business as Cancer Nutrition Care
- Oncology Nutrition Registered Dietitian
- Dover, MA
National Provider Identifier
1710634597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oncology Nutrition Registered Dietitian
- Legal business name
- THE CENTER FOR INTEGRATIVE NUTRITION & CULINARY CARE, LLC
- Doing business as
- Cancer Nutrition Care
- Practice address
- 16 Pine St
Dover, MA 02030-2423 - Phone
- (978) 758-0510
- NPI assigned
- Mar 2, 2022
- Last updated
- Mar 2, 2022
- 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
- Robert M Simek
- Title
- President
- Phone
- (978) 758-0510
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oncology Nutrition Registered Dietitian | 133VN1301X | NU | Primary |
Addresses
Primary practice location
16 Pine St
Dover, MA 02030-2423
Mailing address
16 Pine St
Dover, MA 02030-2423
Phone (978) 758-0510
Other names 1
- Cancer Nutrition Care
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646179200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1646179200000",
"number": "1710634597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 PINE ST",
"city": "DOVER",
"state": "MA",
"postal_code": "020302423",
"telephone_number": "978-758-0510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 PINE ST",
"city": "DOVER",
"state": "MA",
"postal_code": "020302423",
"telephone_number": "978-758-0510"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE CENTER FOR INTEGRATIVE NUTRITION & CULINARY CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-02",
"last_updated": "2022-03-02",
"certification_date": "2022-03-02",
"status": "A",
"authorized_official_last_name": "SIMEK",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "978-758-0510"
},
"taxonomies": [
{
"code": "133VN1301X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Oncology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Cancer Nutrition Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Dover, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.