Pedodontic Associates of Newton, Inc.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

10457 Issued in MA

Legal business name

PEDODONTIC ASSOCIATES OF NEWTON, INC.

Practice address

221 Washington St
Newton, MA 02458-1726

Phone

(617) 332-2900

NPI assigned

Dec 4, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Michael C Sheff, D.M.D., M.SC.D.

Title

President

Phone

(617) 332-2900

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730247875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 WASHINGTON ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024581726",
            "telephone_number": "617-332-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 WASHINGTON ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024581726",
            "telephone_number": "617-332-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDODONTIC ASSOCIATES OF NEWTON, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHEFF",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-332-2900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D., M.SC.D."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MA",
            "license": "10457",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9707263",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL",
            "identifier": "00099",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Dentistry in Newton, MA
• Providers in Newton, MA by specialty
• Pediatric Dentistry in Massachusetts

• 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.