NPIMap

Organization Active NPI

Desjardins Management Inc.

  • Dentist
  • Lawrence, MA
National Provider Identifier
1780826883
Registry record updated Apr 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
DESJARDINS MANAGEMENT INC.
Practice address
420 Essex St
Lawrence, MA 01840-1214
Phone
(978) 682-4525
Fax
(978) 691-5069
NPI assigned
Apr 3, 2009
Organization subpart
Yes
Parent organization
DESJARDINS MANAGEMENT INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 3, 2009

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

Authorized official

Name
Mrs. Lilian Coralia Desjardins
Title
President
Phone
(978) 682-4525

Specialties & licenses 1

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

Addresses

Primary practice location

420 Essex St
Lawrence, MA 01840-1214

Mailing address

420 Essex St
Lawrence, MA 01840-1214
Phone (978) 682-4525

Other identifiers 1

IdentifierTypeStateIssuer
9752170MedicaidMA

Other names 1

  • Community Dentists Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Desjardins Management Inc3 organizations share this tax ID, including this one
Part of
Desjardins Management Inc

Other organizations with this tax ID 2

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1238716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238716800000",
    "number": "1780826883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 ESSEX ST",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018401214",
            "telephone_number": "978-682-4525",
            "fax_number": "978-691-5069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 ESSEX ST",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018401214",
            "telephone_number": "978-682-4525",
            "fax_number": "978-691-5069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESJARDINS MANAGEMENT INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DESJARDINS MANAGEMENT INC.",
        "enumeration_date": "2009-04-03",
        "last_updated": "2009-04-03",
        "status": "A",
        "authorized_official_last_name": "DESJARDINS",
        "authorized_official_first_name": "LILIAN",
        "authorized_official_middle_name": "CORALIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-682-4525",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9752170",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Dentists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lawrence, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2009; 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.