NPIMap

Organization Active NPI

Great Meadows Dental Group, P.C.

  • Dentist
  • Bedford, MA
National Provider Identifier
1780048157
Registry record updated Apr 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
18093 Issued in MA
Legal business name
GREAT MEADOWS DENTAL GROUP, P.C.
Practice address
56 Great Rd
Bedford, MA 01730-2120
Phone
(978) 886-2678
NPI assigned
Apr 11, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2016

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

Authorized official

Name
Dr. Nicholas Theodore Papapetros, D.M.D.
Title
President
Phone
(978) 886-2678

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 18093 MA Primary

Addresses

Primary practice location

56 Great Rd
Bedford, MA 01730-2120

Mailing address

95 Campion Rd
North Andover, MA 01845-1231
Phone (978) 886-2678

National Provider Directory

National Provider Directory

Locations

56 Great Rd
Bedford, MA 01730
Phone (781) 275-7707

NPI Registry JSON

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

{
    "created_epoch": "1460332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460332800000",
    "number": "1780048157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 CAMPION RD",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018451231",
            "telephone_number": "978-886-2678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 GREAT RD",
            "city": "BEDFORD",
            "state": "MA",
            "postal_code": "017302120",
            "telephone_number": "978-886-2678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT MEADOWS DENTAL GROUP, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-11",
        "last_updated": "2016-04-11",
        "status": "A",
        "authorized_official_last_name": "PAPAPETROS",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "THEODORE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-886-2678",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MA",
            "license": "18093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2016; 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.