NPIMap

Organization Active NPI

Fidelito Gabriel DMD PC

Doing business as Forest Hills Dental

  • General Practice Dentistry
  • Jamaica Plain, MA
National Provider Identifier
1790016368
Registry record updated Jan 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
21464 Issued in MA
Legal business name
FIDELITO GABRIEL DMD PC
Doing business as
Forest Hills Dental
Practice address
3724 Washington St
Jamaica Plain, MA 02130-3701
Phone
(617) 522-7414
Fax
(617) 522-1425
NPI assigned
Jan 21, 2010
Last updated
Jan 21, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2010

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

Authorized official

Name
Dr. Fidelito Gabriel, D.M.D.NPI 1619919909
Title
President
Phone
(617) 763-9351

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 21464 MA Primary

Addresses

Primary practice location

3724 Washington St
Jamaica Plain, MA 02130-3701

Mailing address

5 Annapolis Rd
Milton, MA 02186-2507
Phone (617) 522-7414

Other names 1

  • FOREST HILLS DENTAL Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Fidelito Gabriel 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

3724 Washington St
Jamaica Plain, MA 02130
Phone (617) 522-7414

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1264032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264032000000",
    "number": "1790016368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 ANNAPOLIS RD",
            "city": "MILTON",
            "state": "MA",
            "postal_code": "021862507",
            "telephone_number": "617-522-7414",
            "fax_number": "617-522-1425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3724 WASHINGTON ST",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021303701",
            "telephone_number": "617-522-7414",
            "fax_number": "617-522-1425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIDELITO GABRIEL DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-21",
        "last_updated": "2010-01-21",
        "status": "A",
        "authorized_official_last_name": "GABRIEL",
        "authorized_official_first_name": "FIDELITO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-763-9351",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "21464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FOREST HILLS DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jamaica Plain, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2010; 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.