Childrens Dental Care

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

19756 Issued in MA

Legal business name

CHILDRENS DENTAL CARE

Practice address

370 Main Street
#201
Stoneham, MA 02180

Phone

(781) 438-0300

Fax

(781) 438-0336

NPI assigned

Jun 4, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Badrieh Edalatpour, DMD

Title

DMD

Phone

(781) 438-0300

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1212537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212537600000",
    "number": "1831358985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 MAIN STREET",
            "address_2": "#201",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "02180",
            "telephone_number": "781-438-0300",
            "fax_number": "781-438-0336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 MAIN STREET",
            "address_2": "#201",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "02180",
            "telephone_number": "781-438-0300",
            "fax_number": "781-438-0336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDRENS DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-04",
        "last_updated": "2008-06-04",
        "status": "A",
        "authorized_official_last_name": "EDALATPOUR",
        "authorized_official_first_name": "BADRIEH",
        "authorized_official_title_or_position": "DMD",
        "authorized_official_telephone_number": "781-438-0300",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MA",
            "license": "19756",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "X12536",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles W. Malta, D.D.S., P.C.
• Jonathan Chase, D.D.S.
• Julie Checca
• Bob Cheng, D.M.D
• Keri Lynn Chiasson
• Kimberly Y Chin, LIC. AC.
• Nicholas Chiodi
• Maria Chorzewski, PT
• Daniel Byungho Chung
• Brian Thomas Clark, M.D.

• Pediatric Dentistry in Stoneham, MA
• Providers in Stoneham, MA by specialty
• Pediatric Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.