NPIMap

Organization Active NPI

Aura Dental Center

  • Dentist
  • Lynn, MA
National Provider Identifier
1730779000
Registry record updated Jan 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
AURA DENTAL CENTER
Practice address
391 Lynnway
Lynn, MA 01901-1707
Phone
(617) 393-5437
NPI assigned
Jan 21, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2021

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

Authorized official

Name
Dr. Ximena D Venegas, DMDNPI 1801380316
Title
General Dentist
Phone
(862) 276-9243

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

391 Lynnway
Lynn, MA 01901-1707

Mailing address

391 Lynnway
Lynn, MA 01901-1707
Phone (617) 393-5437

National Provider Directory

National Provider Directory

Locations

391 Lynnway
Lynn, MA 01901
Phone (617) 393-5437

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1611187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611187200000",
    "number": "1730779000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "391 LYNNWAY",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019011707",
            "telephone_number": "617-393-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "391 LYNNWAY",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019011707",
            "telephone_number": "617-393-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AURA DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-21",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A",
        "authorized_official_last_name": "VENEGAS",
        "authorized_official_first_name": "XIMENA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "862-276-9243",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynn, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; 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.