NPIMap

Organization Active NPI

NDMG Massachusetts Dental Holdings, P.C.

  • General Practice Dentistry
  • Bourne, MA
National Provider Identifier
1730797473
Registry record updated Jul 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
NDMG MASSACHUSETTS DENTAL HOLDINGS, P.C.
Practice address
1 Technology Park Dr Ste C
Bourne, MA 02532-8338
Phone
(781) 771-5700
NPI assigned
Jul 20, 2020
Last updated
Jul 20, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2020

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

Authorized official

Name
Dr. Nicholas Papapetros, DMD
Title
Ceo / Owner
Phone
(978) 886-2678

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

1 Technology Park Dr Ste C
Bourne, MA 02532-8338

Mailing address

1 Technology Park Dr Ste C
Bourne, MA 02532-8338
Phone (781) 771-5700

Other names 1

  • NDMG Massachusetts Dental Holdings PC Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595203200000",
    "number": "1730797473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 TECHNOLOGY PARK DR STE C",
            "city": "BOURNE",
            "state": "MA",
            "postal_code": "025328338",
            "telephone_number": "781-771-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 TECHNOLOGY PARK DR STE C",
            "city": "BOURNE",
            "state": "MA",
            "postal_code": "025328338",
            "telephone_number": "781-771-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NDMG MASSACHUSETTS DENTAL HOLDINGS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-20",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A",
        "authorized_official_last_name": "PAPAPETROS",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "CEO / OWNER",
        "authorized_official_telephone_number": "978-886-2678",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NDMG Massachusetts Dental Holdings PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bourne, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.