NPIMap

Organization Active NPI

The Endodontic Group, LLC

  • Endodontics
  • Swansea, MA
National Provider Identifier
1750566253
Registry record updated Jan 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
20989 Issued in MA
Legal business name
THE ENDODONTIC GROUP, LLC
Practice address
799 Wilbur Ave
Swansea, MA 02777-2143
Phone
(508) 678-4851
Fax
(508) 678-0934
NPI assigned
Jan 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2008

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

Authorized official

Name
Dr. Paul David Slusarz, D.M.D.NPI 1225243199
Title
President
Phone
(508) 678-4851

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
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X 20989 MA Primary

Addresses

Primary practice location

799 Wilbur Ave
Swansea, MA 02777-2143

Mailing address

799 Wilbur Ave
Swansea, MA 02777-2143
Phone (508) 678-4851

National Provider Directory

National Provider Directory

Locations

799 Wilbur Ave
Swansea, MA 02777
Phone (508) 678-4851

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199232000000",
    "number": "1750566253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "799 WILBUR AVE",
            "city": "SWANSEA",
            "state": "MA",
            "postal_code": "027772143",
            "telephone_number": "508-678-4851",
            "fax_number": "508-678-0934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "799 WILBUR AVE",
            "city": "SWANSEA",
            "state": "MA",
            "postal_code": "027772143",
            "telephone_number": "508-678-4851",
            "fax_number": "508-678-0934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ENDODONTIC GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-02",
        "last_updated": "2008-01-02",
        "status": "A",
        "authorized_official_last_name": "SLUSARZ",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-678-4851",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "MA",
            "license": "20989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Swansea, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2008; 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.