NPIMap

Organization Active NPI

Pediatric Dental Arts

  • Dental Clinic/Center
  • Watertown, MA
National Provider Identifier
1790930154
Registry record updated Nov 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
21040 Issued in MA
Legal business name
PEDIATRIC DENTAL ARTS
Practice address
521 Mount Auburn St
Suite 104
Watertown, MA 02472-4191
Phone
(617) 924-1911
NPI assigned
Nov 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2008

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

Authorized official

Name
Dr. Caterina Raffa, D.M.DNPI 1609097336
Title
Pediatric Dentist
Phone
(617) 924-1911

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 21040 MA Primary

Addresses

Primary practice location

521 Mount Auburn St
Suite 104
Watertown, MA 02472-4191

Mailing address

521 Mount Auburn St
Suite 104
Watertown, MA 02472-4191
Phone (617) 924-1911

National Provider Directory

National Provider Directory

Locations

521 Mount Auburn St
Ste 104
Watertown, MA 02472
Phone (617) 924-1911

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1227571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227571200000",
    "number": "1790930154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 MOUNT AUBURN ST",
            "address_2": "SUITE 104",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024724191",
            "telephone_number": "617-924-1911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 MOUNT AUBURN ST",
            "address_2": "SUITE 104",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024724191",
            "telephone_number": "617-924-1911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC DENTAL ARTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-25",
        "last_updated": "2008-11-25",
        "status": "A",
        "authorized_official_last_name": "RAFFA",
        "authorized_official_first_name": "CATERINA",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "617-924-1911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MA",
            "license": "21040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2008; 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.