NPIMap

Organization Active NPI

42 North Dental Oral Surgery of Ma, PLLC

  • Dental Clinic/Center
  • Quincy, MA
National Provider Identifier
1730846403
Registry record updated Nov 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
42 NORTH DENTAL ORAL SURGERY OF MA, PLLC
Practice address
270 Quincy Ave
Quincy, MA 02169-8127
Phone
(617) 773-9500
NPI assigned
Nov 17, 2021
Organization subpart
Yes
Parent organization
42 NORTH DENTAL ORAL SURGERY OF MA, PLLCAs reported in NPPES

Authorized official

NPPES NPI Registry
Name
Michael Angelo Scialabba
Title
Cheif Clinical Officer
Phone
(561) 512-2709

Practitioners 5

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

National Provider Directory

National Provider Directory
Tax ID family
42 North Dental Oral Surgery of Ma PLLC2 organizations share this tax ID, including this one
Part of
42 North Dental Oral Surgery of Ma PLLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

NPPES NPI Registry

Primary practice location

270 Quincy Ave
Quincy, MA 02169-8127

Mailing address

270 Quincy Ave
Quincy, MA 02169-8127
Phone (617) 773-9500

Other names 1

NPPES NPI Registry
  • South Shore Oral Surgery Associates Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 17, 2021.

{
    "created_epoch": "1637107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637107200000",
    "number": "1730846403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 QUINCY AVE",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021698127",
            "telephone_number": "617-773-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 QUINCY AVE",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021698127",
            "telephone_number": "617-773-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "42 NORTH DENTAL ORAL SURGERY OF MA, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "42 NORTH DENTAL ORAL SURGERY OF MA, PLLC",
        "enumeration_date": "2021-11-17",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A",
        "authorized_official_last_name": "SCIALABBA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ANGELO",
        "authorized_official_title_or_position": "CHEIF CLINICAL OFFICER",
        "authorized_official_telephone_number": "561-512-2709"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Shore Oral Surgery Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Quincy, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.