Organization Active NPI

Western Mass Endodontics PC

  • Endodontics
  • Springfield, MA
National Provider Identifier
1801936570
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
WESTERN MASS ENDODONTICS PC
Practice address
15 Liberty Street
Western Mass Endodontics
Springfield, MA 01103
Phone
(413) 733-6600
Fax
(413) 732-1667
NPI assigned
Feb 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Shawn M Record, DMD
Title
President Corporation
Phone
(413) 733-6600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223E0200X Primary

Addresses

Primary practice location

15 Liberty Street
Western Mass Endodontics
Springfield, MA 01103

Mailing address

15 Liberty Street
Western Mass Endodontics
Springfield, MA 01103

National Provider Directory

National Provider Directory

Locations

15 Liberty St
Springfield, MA 01103
Phone (413) 733-6600

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801936570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 LIBERTY STREET",
            "address_2": "WESTERN MASS ENDODONTICS",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "01103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 LIBERTY STREET",
            "address_2": "WESTERN MASS ENDODONTICS",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "01103",
            "telephone_number": "413-733-6600",
            "fax_number": "413-732-1667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN MASS ENDODONTICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RECORD",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT CORPORATION",
        "authorized_official_telephone_number": "413-733-6600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.