NPIMap

Organization Active NPI

Robert H. Audet, D.M.D.

  • General Practice Dentistry
  • Sturbridge, MA
National Provider Identifier
1720205958
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11849 Issued in MA
Legal business name
ROBERT H. AUDET, D.M.D.
Practice address
22 Main St
Sturbridge, MA 01566-1246
Phone
(508) 347-7171
Fax
(508) 347-7088
NPI assigned
Apr 19, 2007
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
Dr. Robert Henry Audet, D.M.D.NPI 1518025949
Title
Proprietor
Phone
(508) 347-7171

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 11849 MA Primary

Addresses

Primary practice location

22 Main St
Sturbridge, MA 01566-1246

Mailing address

22 Main St
Sturbridge, MA 01566-1246
Phone (508) 347-7171

Other identifiers 1

IdentifierTypeStateIssuer
X12475OtherMABC BS GROUP

National Provider Directory

National Provider Directory

Locations

22 Main St
Sturbridge, MA 01566
Phone (508) 347-7171

Practitioners & affiliated clinicians

Practitioners 4

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": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720205958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 MAIN ST",
            "city": "STURBRIDGE",
            "state": "MA",
            "postal_code": "015661246",
            "telephone_number": "508-347-7171",
            "fax_number": "508-347-7088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 MAIN ST",
            "city": "STURBRIDGE",
            "state": "MA",
            "postal_code": "015661246",
            "telephone_number": "508-347-7171",
            "fax_number": "508-347-7088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT H. AUDET, D.M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AUDET",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "508-347-7171",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "11849",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS GROUP",
            "identifier": "X12475",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sturbridge, 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.