NPIMap

Organization Active NPI

Cape Cod Periodontics PC

  • Periodontics
  • Yarmouth Port, MA
National Provider Identifier
1740682517
Registry record updated Jul 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
DN1855923 Issued in MA
Legal business name
CAPE COD PERIODONTICS PC
Practice address
244 Willow St
Yarmouth Port, MA 02675-1757
Phone
(508) 375-9090
Fax
(508) 375-3323
NPI assigned
Sep 23, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2016

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

Authorized official

Name
Dr. Joe A Nguyen, DMD
Title
Dentist/Ownder
Phone
(858) 761-2404

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X DN1855923 MA Primary

Addresses

Primary practice location

244 Willow St
Yarmouth Port, MA 02675-1757

Mailing address

244 Willow St
Yarmouth Port, MA 02675-1757
Phone (508) 375-9090

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1411430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469664000000",
    "number": "1740682517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 WILLOW ST",
            "city": "YARMOUTH PORT",
            "state": "MA",
            "postal_code": "026751757",
            "telephone_number": "508-375-9090",
            "fax_number": "508-375-3323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 WILLOW ST",
            "city": "YARMOUTH PORT",
            "state": "MA",
            "postal_code": "026751757",
            "telephone_number": "508-375-9090",
            "fax_number": "508-375-3323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPE COD PERIODONTICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-23",
        "last_updated": "2016-07-28",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "JOE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DENTIST/OWNDER",
        "authorized_official_telephone_number": "858-761-2404",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "MA",
            "license": "DN1855923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yarmouth Port, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2016; 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.