NPIMap

Organization Active NPI

DRS. Manzoli & Russo, P.C.

Doing business as Central New England Endodontics & Implantology

  • Endodontics
  • Fitchburg, MA
National Provider Identifier
1740393685
Registry record updated Jun 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
11355 Issued in MA
Legal business name
DRS. MANZOLI & RUSSO, P.C.
Doing business as
Central New England Endodontics & Implantology
Practice address
100 Whalon St
Fitchburg, MA 01420-7162
Phone
(978) 345-7555
Fax
(978) 348-2612
NPI assigned
Aug 16, 2006
Last updated
Jun 30, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2020

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

Authorized official

Name
Julie Marlett
Title
Office Coordinator
Phone
(508) 791-5529

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 11355 MA Primary

Addresses

Primary practice location

100 Whalon St
Fitchburg, MA 01420-7162

Mailing address

100 Whalon St
Fitchburg, MA 01420-7162
Phone (978) 345-7555

Other names 1

  • Central New England Endodontics & Implantology Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Central New England Endodontics Implantology4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593475200000",
    "number": "1740393685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WHALON ST",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014207162",
            "telephone_number": "978-345-7555",
            "fax_number": "978-348-2612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WHALON ST",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014207162",
            "telephone_number": "978-345-7555",
            "fax_number": "978-348-2612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS. MANZOLI & RUSSO, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A",
        "authorized_official_last_name": "MARLETT",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "OFFICE COORDINATOR",
        "authorized_official_telephone_number": "508-791-5529"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "MA",
            "license": "11355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central New England Endodontics & Implantology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Central New England Endodontics & Implantology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fitchburg, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.