NPIMap

Organization Active NPI

Arch Dental Clinic

  • Dentist
  • Brockton, MA
National Provider Identifier
1780009779
Registry record updated Feb 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
ARCH DENTAL CLINIC
Practice address
200 Westgate Dr
Suite 2
Brockton, MA 02301-1810
Phone
(508) 587-5333
NPI assigned
Feb 27, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2014

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

Authorized official

Name
Ranganayaki Chirumamilla
Title
President
Phone
(214) 336-9767

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

200 Westgate Dr
Suite 2
Brockton, MA 02301-1810

Mailing address

200 Westgate Dr
Suite 2
Brockton, MA 02301-1810
Phone (508) 587-5333

National Provider Directory

National Provider Directory

Locations

200 Westgate Dr
Ste 2
Brockton, MA 02301
Phone (508) 587-5333

Practitioners & affiliated clinicians

Practitioners 2

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": "1393459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393459200000",
    "number": "1780009779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 WESTGATE DR",
            "address_2": "SUITE 2",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023011810",
            "telephone_number": "508-587-5333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 WESTGATE DR",
            "address_2": "SUITE 2",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023011810",
            "telephone_number": "508-587-5333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCH DENTAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-27",
        "last_updated": "2014-02-27",
        "status": "A",
        "authorized_official_last_name": "CHIRUMAMILLA",
        "authorized_official_first_name": "RANGANAYAKI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-336-9767"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2014; 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.