Active NPI
Theodore S. Safer,DDS,PC
- Dental Clinic/Center
- Taunton, MA
National Provider Identifier
1720238082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 15210
- Legal business name
- THEODORE S. SAFER,DDS,PC
- Practice address
- 45 Cohannet St
Taunton, MA 02780-3903 - Phone
- (508) 823-0781
- Fax
- (508) 977-0708
- NPI assigned
- Sep 23, 2008
- 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
- Dr. Theodore S Safer, D.D.S.
- Title
- Owner/President
- Phone
- (508) 823-0781
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | 15210 | MA | Primary |
Addresses
Primary practice location
45 Cohannet St
Taunton, MA 02780-3903
Mailing address
45 Cohannet St
Taunton, MA 02780-3903
Phone (508) 823-0781
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0263427 | Medicaid | MA |
National Provider Directory
National Provider DirectoryLocations
45 Cohannet St
Taunton, MA 02780
Phone (508) 823-0781
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222128000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1222128000000",
"number": "1720238082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 COHANNET ST",
"city": "TAUNTON",
"state": "MA",
"postal_code": "027803903",
"telephone_number": "508-823-0781",
"fax_number": "508-977-0708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 COHANNET ST",
"city": "TAUNTON",
"state": "MA",
"postal_code": "027803903",
"telephone_number": "508-823-0781",
"fax_number": "508-977-0708"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THEODORE S. SAFER,DDS,PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-23",
"last_updated": "2008-09-23",
"status": "A",
"authorized_official_last_name": "SAFER",
"authorized_official_first_name": "THEODORE",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "508-823-0781",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "MA",
"license": "15210",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0263427",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Taunton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.