NPIMap

Organization Active NPI

Lux Dental

  • General Practice Dentistry
  • Quincy, MA
National Provider Identifier
1720128325
Registry record updated Dec 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
21249 Issued in MA
Legal business name
LUX DENTAL
Practice address
505 Washington St
Quincy, MA 02169-5834
Phone
(617) 639-5942
NPI assigned
Feb 6, 2007
Last updated
Dec 4, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2012

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

Authorized official

Name
Dr. Saeed Kashefi, DMD
Title
General Dentist and Partial Owner
Phone
(617) 639-5942

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 21249 MA Primary

Addresses

Primary practice location

505 Washington St
Quincy, MA 02169-5834

Mailing address

505 Washington St
Quincy, MA 02169-5834
Phone (617) 639-5942

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354579200000",
    "number": "1720128325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 WASHINGTON ST",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021695834",
            "telephone_number": "617-639-5942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 WASHINGTON ST",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021695834",
            "telephone_number": "617-639-5942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUX DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2012-12-04",
        "status": "A",
        "authorized_official_last_name": "KASHEFI",
        "authorized_official_first_name": "SAEED",
        "authorized_official_title_or_position": "GENERAL DENTIST AND PARTIAL OWNER",
        "authorized_official_telephone_number": "617-639-5942",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "21249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2012; 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.