NPIMap

Organization Active NPI

DB Practice Management, Inc

  • General Practice Dentistry
  • Lawrence, MA
National Provider Identifier
1831416767
Registry record updated May 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN22028 Issued in MA
Legal business name
DB PRACTICE MANAGEMENT, INC
Practice address
488 Essex St
Lawrence, MA 01840
Phone
(978) 975-8888
Fax
(978) 291-0097
NPI assigned
May 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2010

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

Authorized official

Name
Mr. Dario Gonzalez, DMD
Title
Vice President/Periodontist
Phone
(617) 519-6199

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X DN22028 MA Primary
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X DN22028 MA

Addresses

Primary practice location

488 Essex St
Lawrence, MA 01840

Mailing address

488 Essex Street
Lawrence, MA 01840
Phone (978) 975-8888

Other identifiers 1

IdentifierTypeStateIssuer
221597MedicaidMA

Other names 1

  • Dental Bright Advanced Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

488 Essex St
Lawrence, MA 01840
Phone (978) 291-0097

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 9

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": "1272844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272844800000",
    "number": "1831416767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "488 ESSEX STREET",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "01840",
            "telephone_number": "978-975-8888",
            "fax_number": "978-291-0097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "488 ESSEX ST",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "01840",
            "telephone_number": "978-975-8888",
            "fax_number": "978-291-0097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DB PRACTICE MANAGEMENT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-03",
        "last_updated": "2010-05-03",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "DARIO",
        "authorized_official_title_or_position": "VICE PRESIDENT/PERIODONTIST",
        "authorized_official_telephone_number": "617-519-6199",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN22028",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "MA",
            "license": "DN22028",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "221597",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Bright Advanced Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lawrence, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2010; 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.