NPIMap

Organization Active NPI

JNL Dental One PC

  • General Practice Dentistry
  • Framingham, MA
National Provider Identifier
1750817409
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN1857531 Issued in MA
Legal business name
JNL DENTAL ONE PC
Practice address
270 Concord St Ste 1
Framingham, MA 01702-6489
Phone
(508) 872-7700
NPI assigned
May 1, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Dr. Ji Hyun LeeNPI 1598140584
Title
Co-Owner
Phone
(646) 725-2640

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DN1857531 MA Primary

Addresses

Primary practice location

270 Concord St Ste 1
Framingham, MA 01702-6489

Mailing address

19 Ivana Dr
Andover, MA 01810-2812

Other practice location 1

1651 Bridge St
Dracut, MA 01826-2618
Phone (978) 454-8221

Other names 1

  • Merrimack Valley Dental Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

270 Concord St
Ste 1
Framingham, MA 01702
Phone (508) 872-7700

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1493596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1750817409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 IVANA DR",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018102812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 CONCORD ST STE 1",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017026489",
            "telephone_number": "508-872-7700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1651 Bridge St",
            "address_purpose": "LOCATION",
            "city": "Dracut",
            "state": "MA",
            "postal_code": "018262618",
            "country_code": "US",
            "telephone_number": "978-454-8221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JNL DENTAL ONE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-01",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JI HYUN",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "646-725-2640",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1857531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Merrimack Valley Dental Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Framingham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.