Active NPI
Paul K Shick, DMD
- Dentist
- Somerville, MA
National Provider Identifier
1790919454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 20448
- Practice address
- 56 College Ave
Somerville, MA 02144-1958 - Phone
- (617) 776-5900
- NPI assigned
- May 11, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 20448 | MA | Primary |
Addresses
Primary practice location
56 College Ave
Somerville, MA 02144-1958
Mailing address
56 College Ave
Somerville, MA 02144-1958
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20448 | MA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paul K Shick DMD PC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Somerville Dental Associates
- General Practice Dentistry
- Somerville, MA
- NPI 1184641821
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242000000000",
"number": "1790919454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "56 COLLEGE AVE",
"city": "SOMERVILLE",
"state": "MA",
"postal_code": "021441958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "56 COLLEGE AVE",
"city": "SOMERVILLE",
"state": "MA",
"postal_code": "021441958",
"telephone_number": "617-776-5900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHICK",
"first_name": "PAUL",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-05-11",
"last_updated": "2009-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "20448",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Somerville, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.