NPIMap

Organization Active NPI

Dr Sunit Jain Inc

Doing business as State Street Dental

  • General Practice Dentistry
  • Springfield, MA
National Provider Identifier
1770228074
Registry record updated May 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DR SUNIT JAIN INC
Doing business as
State Street Dental
Practice address
950 State St
Springfield, MA 01109-3145
Phone
(716) 939-4818
NPI assigned
May 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2022

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

Authorized official

Name
Sunit Jain
Title
Owner
Phone
(716) 939-4818

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

950 State St
Springfield, MA 01109-3145

Mailing address

25 Breakneck Hill Rd
Southborough, MA 01772-1806

Other names 1

  • State Street Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dr Sunit Jain Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

950 State St
Springfield, MA 01109
Phone (413) 264-2800

NPI Registry JSON

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

{
    "created_epoch": "1651449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651449600000",
    "number": "1770228074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 BREAKNECK HILL RD",
            "city": "SOUTHBOROUGH",
            "state": "MA",
            "postal_code": "017721806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 STATE ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011093145",
            "telephone_number": "716-939-4818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR SUNIT JAIN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-02",
        "last_updated": "2022-05-02",
        "certification_date": "2022-04-14",
        "status": "A",
        "authorized_official_last_name": "JAIN",
        "authorized_official_first_name": "SUNIT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-939-4818"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "State Street Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2022; 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.