Organization Active NPI

Holy Vine Dental PLLC

  • Dental Clinic/Center
  • Abington, MA
National Provider Identifier
1801665286
Registry record updated Dec 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
HOLY VINE DENTAL PLLC
Practice address
481 Bedford St
Abington, MA 02351-1927
Phone
(781) 423-2543
NPI assigned
Dec 27, 2023
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Marian Megelly, DMDNPI 1811447626
Title
Dentist
Phone
(508) 785-5231

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

Practitioners 1

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

National Provider Directory

National Provider Directory

Locations

481 Bedford St
Abington, MA 02351
Phone (781) 423-2543

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

NPPES NPI Registry

Primary practice location

481 Bedford St
Abington, MA 02351-1927

Mailing address

43 Shore Dr
Plymouth, MA 02360-1370

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 30, 2023.

{
    "created_epoch": "1703635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703894400000",
    "number": "1801665286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 SHORE DR",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023601370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "481 BEDFORD ST",
            "city": "ABINGTON",
            "state": "MA",
            "postal_code": "023511927",
            "telephone_number": "781-423-2543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLY VINE DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-27",
        "last_updated": "2023-12-30",
        "certification_date": "2023-12-30",
        "status": "A",
        "authorized_official_last_name": "MEGELLY",
        "authorized_official_first_name": "MARIAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "508-785-5231",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2023; 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.