NPIMap

Organization Active NPI

Andover Family Dental

  • Dentist
  • Andover, MA
National Provider Identifier
1730468430
Registry record updated Aug 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
19195 Issued in MA
Legal business name
ANDOVER FAMILY DENTAL
Practice address
16 Haverhill St Ste 1
Andover, MA 01810-3000
Phone
(978) 470-2233
Fax
(978) 470-2212
NPI assigned
Aug 11, 2011
Last updated
Aug 11, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2011

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

Authorized official

Name
Manu Sharma
Title
Manager
Phone
(978) 434-1385

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 19195 MA Primary

Addresses

Primary practice location

16 Haverhill St Ste 1
Andover, MA 01810-3000

Mailing address

16 Haverhill St Ste 1
Andover, MA 01810-3000
Phone (978) 470-2233

National Provider Directory

National Provider Directory

Locations

16 Haverhill St
Ste 1
Andover, MA 01810
Phone (978) 470-2233

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1313020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313020800000",
    "number": "1730468430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 HAVERHILL ST STE 1",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018103000",
            "telephone_number": "978-470-2233",
            "fax_number": "978-470-2212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 HAVERHILL ST STE 1",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018103000",
            "telephone_number": "978-470-2233",
            "fax_number": "978-470-2212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDOVER FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-11",
        "last_updated": "2011-08-11",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "MANU",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "978-434-1385"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "19195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Andover, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2011; 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.