NPIMap

Organization Active NPI

Trussmile DMD PC

  • Dentist
  • North Quincy, MA
National Provider Identifier
1780113589
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
20295 Issued in MA
Legal business name
TRUSSMILE DMD PC
Practice address
339 Hancock St
North Quincy, MA 02171-2438
Phone
(617) 328-4646
NPI assigned
Jun 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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

Authorized official

Name
Gail FernandoNPI 1528073251
Title
Dentist
Phone
(617) 328-4600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 20295 MA Primary

Addresses

Primary practice location

339 Hancock St
North Quincy, MA 02171-2438

Mailing address

339 Hancock St
North Quincy, MA 02171-2438

National Provider Directory

National Provider Directory
Tax ID family
Gail Fernando DMD PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

339 Hancock St
Quincy, MA 02171
Phone (617) 328-4600

Practitioners & affiliated clinicians

Practitioners 1

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": "1496707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736121600000",
    "number": "1780113589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 HANCOCK ST",
            "city": "NORTH QUINCY",
            "state": "MA",
            "postal_code": "021712438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 HANCOCK ST",
            "city": "NORTH QUINCY",
            "state": "MA",
            "postal_code": "021712438",
            "telephone_number": "617-328-4646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUSSMILE DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-06",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A",
        "authorized_official_last_name": "FERNANDO",
        "authorized_official_first_name": "GAIL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "617-328-4600"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MA",
            "license": "20295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Quincy, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; 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.