NPIMap

Organization Active NPI

Marengi Dental LLC

  • Dentist
  • Sudbury, MA
National Provider Identifier
1780070946
Registry record updated Apr 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN1855930 Issued in MA
Legal business name
MARENGI DENTAL LLC
Practice address
15 Concord Rd
Sudbury, MA 01776-2328
Phone
(978) 467-4999
Fax
(978) 467-4998
NPI assigned
Apr 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2015

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

Authorized official

Name
Dr. Adam R Marengi, DMD
Title
Owner
Phone
(978) 467-4999

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X DN1855930 MA Primary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X DN1855794 MA

Addresses

Primary practice location

15 Concord Rd
Sudbury, MA 01776-2328

Mailing address

15 Concord Rd
Sudbury, MA 01776-2328
Phone (978) 467-4999

National Provider Directory

National Provider Directory

Locations

15 Concord Rd
Sudbury, MA 01776
Phone (978) 467-4999

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": "1428969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428969600000",
    "number": "1780070946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 CONCORD RD",
            "city": "SUDBURY",
            "state": "MA",
            "postal_code": "017762328",
            "telephone_number": "978-467-4999",
            "fax_number": "978-467-4998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 CONCORD RD",
            "city": "SUDBURY",
            "state": "MA",
            "postal_code": "017762328",
            "telephone_number": "978-467-4999",
            "fax_number": "978-467-4998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARENGI DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-14",
        "last_updated": "2015-04-14",
        "status": "A",
        "authorized_official_last_name": "MARENGI",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-467-4999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1855930",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1855794",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sudbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2015; 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.