Organization Active NPI

Page Family Dental LLC

  • General Practice Dentistry
  • Revere, MA
National Provider Identifier
1821261215
Registry record updated Mar 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
PAGE FAMILY DENTAL LLC
Doing business as
Page Family Dental
Practice address
26 Central Avenue
Revere, MA 02151
Phone
(781) 284-5443
NPI assigned
Apr 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2016

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

Authorized official

Name
Dr. Christopher Page, DMD
Title
Owner
Phone
(617) 504-5728

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

26 Central Avenue
Revere, MA 02151

Mailing address

26 Central Avenue
Revere, MA 02151
Phone (781) 284-5443

Other names 1

  • Page Family Dental Doing business as

National Provider Directory

National Provider Directory

Locations

26 Central Ave
Revere, MA 02151
Phone (781) 284-5443

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": "1207612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457568000000",
    "number": "1821261215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 CENTRAL AVENUE",
            "city": "REVERE",
            "state": "MA",
            "postal_code": "02151",
            "telephone_number": "781-284-5443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 CENTRAL AVENUE",
            "city": "REVERE",
            "state": "MA",
            "postal_code": "02151",
            "telephone_number": "781-284-5443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAGE FAMILY DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-08",
        "last_updated": "2016-03-10",
        "status": "A",
        "authorized_official_last_name": "PAGE",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-504-5728",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Page Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Revere, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2016; 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.