NPIMap

Organization Active NPI

Trustees of Tufts University

  • Dental Clinic/Center
  • Palmer, MA
National Provider Identifier
1760608608
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
20040 Issued in MA
Legal business name
TRUSTEES OF TUFTS UNIVERSITY
Practice address
175 State Ave
Palmer, MA 01069-1843
Phone
(413) 283-3411
Fax
(413) 283-3674
NPI assigned
Apr 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. John Patrick Morgan Jr.
Title
Administrative Director
Phone
(781) 899-6020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 20040 MA Primary

Addresses

Primary practice location

175 State Ave
Palmer, MA 01069-1843

Mailing address

175 State Avenue
Palmer, MA 01069
Phone (413) 283-3411

Other identifiers 1

IdentifierTypeStateIssuer
0272221OtherMAMASSHEALTH PROVIDER NUMBE

Other names 1

  • Tufts Dental Facility Monson Other name

National Provider Directory

National Provider Directory
Tax ID family
Tufts University Lab23 organizations share this tax ID, including this one

Other organizations with this tax ID 22

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

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760608608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 STATE AVENUE",
            "city": "PALMER",
            "state": "MA",
            "postal_code": "01069",
            "telephone_number": "413-283-3411",
            "fax_number": "413-283-3674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 STATE AVE",
            "city": "PALMER",
            "state": "MA",
            "postal_code": "010691843",
            "telephone_number": "413-283-3411",
            "fax_number": "413-283-3674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUSTEES OF TUFTS UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "781-899-6020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MA",
            "license": "20040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSHEALTH PROVIDER NUMBE",
            "identifier": "0272221",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tufts Dental Facility Monson",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Palmer, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.