NPIMap

Organization Active NPI

Cristian Petcu DDS PC

  • General Practice Dentistry
  • Medway, MA
National Provider Identifier
1801041652
Registry record updated Nov 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CRISTIAN PETCU DDS PC
Practice address
89C Main St
Medway, MA 02053-1821
Phone
(508) 533-8433
Fax
(508) 533-4682
NPI assigned
Nov 20, 2008
Last updated
Nov 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2008

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

Authorized official

Name
Dr. Cristian Petcu, DDSNPI 1932314747
Title
President
Phone
(508) 533-8433

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 Dentistry 1223G0001X Primary

Addresses

Primary practice location

89C Main St
Medway, MA 02053-1821

Mailing address

89C Main St
Medway, MA 02053-1821
Phone (508) 533-8433

National Provider Directory

National Provider Directory
Tax ID family
Cristian Petcu DDS 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

89C Main St
Medway, MA 02053
Phone (508) 533-8433

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": "1227139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227139200000",
    "number": "1801041652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89C MAIN ST",
            "city": "MEDWAY",
            "state": "MA",
            "postal_code": "020531821",
            "telephone_number": "508-533-8433",
            "fax_number": "508-533-4682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89C MAIN ST",
            "city": "MEDWAY",
            "state": "MA",
            "postal_code": "020531821",
            "telephone_number": "508-533-8433",
            "fax_number": "508-533-4682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRISTIAN PETCU DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-20",
        "last_updated": "2008-11-20",
        "status": "A",
        "authorized_official_last_name": "PETCU",
        "authorized_official_first_name": "CRISTIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-533-8433",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medway, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.