Organization Active NPI

Reliant Dental Group Framingham

  • Dentist
  • Framingham, MA
National Provider Identifier
1790348845
Registry record updated Apr 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
RELIANT DENTAL GROUP FRAMINGHAM
Practice address
223 Walnut St Ste 16
Framingham, MA 01702-7500
Phone
(508) 250-6936
NPI assigned
Apr 15, 2019
Organization subpart
Yes
Parent organization
RELIANT DENTAL GROUP LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 15, 2019

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

Authorized official

Name
Thiago Leandro Soares
Title
Administrator
Phone
(508) 250-6936

Specialties & licenses 1

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

Addresses

Primary practice location

223 Walnut St Ste 16
Framingham, MA 01702-7500

Mailing address

1996 Centre St Ste 201
West Roxbury, MA 02132-3330

Other names 1

  • Reliant Dental Group LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

223 Walnut St
Ste 16
Framingham, MA 01702
Phone (508) 370-8270

NPI Registry JSON

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

{
    "created_epoch": "1555286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555286400000",
    "number": "1790348845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1996 CENTRE ST STE 201",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "021323330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 WALNUT ST STE 16",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017027500",
            "telephone_number": "508-250-6936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIANT DENTAL GROUP FRAMINGHAM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RELIANT DENTAL GROUP LLC",
        "enumeration_date": "2019-04-15",
        "last_updated": "2019-04-15",
        "status": "A",
        "authorized_official_last_name": "SOARES",
        "authorized_official_first_name": "THIAGO",
        "authorized_official_middle_name": "LEANDRO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "508-250-6936"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reliant Dental Group LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Framingham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2019; 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.