Organization Active NPI

Newton Corner Dental Care, PLLC

  • General Practice Dentistry
  • Newton, MA
National Provider Identifier
1750935078
Registry record updated Jul 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
NEWTON CORNER DENTAL CARE, PLLC
Practice address
313 Washington St Ste 102
Newton, MA 02458-1626
Phone
(617) 291-6007
NPI assigned
Jul 25, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2019

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

Authorized official

Name
Andrew Luccio, DMD
Title
Owner
Phone
(617) 291-6007

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

313 Washington St Ste 102
Newton, MA 02458-1626

Mailing address

313 Washington St Ste 102
Newton, MA 02458-1626

National Provider Directory

National Provider Directory

Locations

313 Washington St
Ste 102
Newton, MA 02458
Phone (617) 291-6007

NPI Registry JSON

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

{
    "created_epoch": "1564012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564012800000",
    "number": "1750935078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 WASHINGTON ST STE 102",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024581626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 WASHINGTON ST STE 102",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024581626",
            "telephone_number": "617-291-6007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWTON CORNER DENTAL CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-25",
        "last_updated": "2019-07-25",
        "status": "A",
        "authorized_official_last_name": "LUCCIO",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-291-6007",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; 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.