NPIMap

Organization Active NPI

Norwood Pediatric Dentistry

  • Pediatric Dentistry
  • Norwood, MA
National Provider Identifier
1790051373
Registry record updated Mar 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
NORWOOD PEDIATRIC DENTISTRY
Practice address
38 Vanderbilt Ave Ste C
Norwood, MA 02062-5006
Phone
(781) 349-8170
Fax
(781) 349-8059
NPI assigned
Mar 28, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2012

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

Authorized official

Name
Dr. Nooruddin S. Pradhan, D.M.D./MS
Title
Dentist/Owner
Phone
(781) 349-8170

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

38 Vanderbilt Ave Ste C
Norwood, MA 02062-5006

Mailing address

38 Vanderbilt Ave Ste C
Norwood, MA 02062-5006
Phone (781) 349-8170

National Provider Directory

National Provider Directory

Locations

38 Vanderbilt Ave
Unit C
Norwood, MA 02062
Phone (781) 349-8170

NPI Registry JSON

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

{
    "created_epoch": "1332892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332892800000",
    "number": "1790051373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 VANDERBILT AVE STE C",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020625006",
            "telephone_number": "781-349-8170",
            "fax_number": "781-349-8059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 VANDERBILT AVE STE C",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020625006",
            "telephone_number": "781-349-8170",
            "fax_number": "781-349-8059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORWOOD PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-28",
        "last_updated": "2012-03-28",
        "status": "A",
        "authorized_official_last_name": "PRADHAN",
        "authorized_official_first_name": "NOORUDDIN",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "781-349-8170",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D./MS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwood, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2012; 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.