Organization Active NPI

Theodore S. Safer,DDS,PC

  • Dental Clinic/Center
  • Taunton, MA
National Provider Identifier
1720238082
Registry record updated Sep 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
15210 Issued in MA
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

Updated by the provider on Sep 23, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0263427MedicaidMA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.