NPIMap

Organization Active NPI

Dentonic

  • Dentist
  • Waltham, MA
National Provider Identifier
1821388398
Registry record updated Apr 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
DENTONIC
Practice address
25 Middlesex Rd
#2
Waltham, MA 02452-6170
Phone
(781) 697-7421
Fax
(781) 647-1994
NPI assigned
Apr 18, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2011

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

Authorized official

Name
Dr. Seema Z Jacob, DDS
Title
President
Phone
(781) 697-7421

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

25 Middlesex Rd
#2
Waltham, MA 02452-6170

Mailing address

25 Middlesex Road,
#2
Waltham, MA 02452
Phone (781) 697-7421

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1303084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303084800000",
    "number": "1821388398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 MIDDLESEX ROAD,",
            "address_2": "#2",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "02452",
            "telephone_number": "781-697-7421",
            "fax_number": "781-647-1994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 MIDDLESEX RD",
            "address_2": "#2",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024526170",
            "telephone_number": "781-697-7421",
            "fax_number": "781-647-1994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTONIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-18",
        "last_updated": "2011-04-18",
        "status": "A",
        "authorized_official_last_name": "JACOB",
        "authorized_official_first_name": "SEEMA",
        "authorized_official_middle_name": "Z",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-697-7421",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waltham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2011; 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.