NPIMap

Organization Active NPI

President & Fellows of Harvard College

Doing business as HUHS Dental Services

  • Dental Clinic/Center
  • Cambridge, MA
National Provider Identifier
1760725287
Registry record updated Apr 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
4RA2 Issued in MA
Legal business name
PRESIDENT & FELLOWS OF HARVARD COLLEGE
Doing business as
HUHS Dental Services
Practice address
75 Mount Auburn St
Cambridge, MA 02138-4960
Phone
(617) 495-2063
Fax
(617) 496-0562
NPI assigned
Apr 3, 2013
Last updated
Apr 3, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
PRESIDENT & FELLOWS OF HARVARD COLLEGEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 3, 2013

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

Authorized official

Name
Dr. Laura Michele Mardis, DDSNPI 1598862518
Title
Chief of Service
Phone
(617) 495-2063

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 4RA2 MA Primary

Addresses

Primary practice location

75 Mount Auburn St
Cambridge, MA 02138-4960

Mailing address

75 Mount Auburn St
Cambridge, MA 02138-4960
Phone (617) 495-2063

Other names 1

  • HUHS Dental Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
President Fellows of Harva17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

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

View all 16

Practitioners & affiliated clinicians

Practitioners 1

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": "1364947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364947200000",
    "number": "1760725287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 MOUNT AUBURN ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021384960",
            "telephone_number": "617-495-2063",
            "fax_number": "617-496-0562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 MOUNT AUBURN ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021384960",
            "telephone_number": "617-495-2063",
            "fax_number": "617-496-0562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESIDENT & FELLOWS OF HARVARD COLLEGE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRESIDENT & FELLOWS OF HARVARD COLLEGE",
        "enumeration_date": "2013-04-03",
        "last_updated": "2013-04-03",
        "status": "A",
        "authorized_official_last_name": "MARDIS",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "MICHELE",
        "authorized_official_title_or_position": "CHIEF OF SERVICE",
        "authorized_official_telephone_number": "617-495-2063",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MA",
            "license": "4RA2",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HUHS Dental Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cambridge, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2013; 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.