Dr. Mickey'S Orthodontics, L.L.C.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DN20656 Issued in MA

Legal business name

DR. MICKEY'S ORTHODONTICS, L.L.C.

Practice address

92 Montvale Ave
Suite 4300
Stoneham, MA 02180-3647

Phone

(781) 279-2400

NPI assigned

Mar 21, 2013

Organization subpart

Yes

Parent organization

EUGENE A MICKEY, DMD, MPH, PCAs reported in NPPES

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

Authorized official

Name

Dr. Eugene A Mickey, DMD

Title

President/Owner

Phone

(781) 279-2400

Specialties & licenses 1

Addresses

Part of

Eugene a Mickey DMD MPH PC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Eugene a Mickey, DMD, MPH, PC

  • Pediatric Dentistry
  • Stoneham, MA
  • NPI 1396829180
  NPPES parent name

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

{
    "created_epoch": "1363824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363824000000",
    "number": "1720320377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 MONTVALE AVE",
            "address_2": "SUITE 4300",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021803647",
            "telephone_number": "781-279-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 MONTVALE AVE",
            "address_2": "SUITE 4300",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021803647",
            "telephone_number": "781-279-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MICKEY'S ORTHODONTICS, L.L.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EUGENE A MICKEY, DMD, MPH, PC",
        "enumeration_date": "2013-03-21",
        "last_updated": "2013-03-21",
        "status": "A",
        "authorized_official_last_name": "MICKEY",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "781-279-2400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MA",
            "license": "DN20656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Donahue
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• Kerri-Ann Donovan, RN-BSN
• John Dorlando
• Dr Bruce M Doyle DMD PC
• Drizik Eyecare Inc
• DRJ H Pizzarello and Dr C Silvestro Family Dentistry
• Dube Optical Inc
• Dube Optical Inc
• Dube Optical Inc.

• Orthodontics and Dentofacial Orthopedics Dentistry in Stoneham, MA
• Providers in Stoneham, MA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2013; 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.