Melrose Orthodontics, PC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DN1856182 Issued in MA

Legal business name

MELROSE ORTHODONTICS, PC

Practice address

540 Lynn Fells Pkwy
Melrose, MA 02176-2327

Phone

(781) 665-1355

NPI assigned

Nov 7, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Moira Casey, DMDNPI 1629366604

Title

Owner

Phone

(781) 665-1355

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Moira Kennedy Casey, D.M.D.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Melrose, MA
  • NPI 1629366604
  NPD Authorized official
• Neil Fried, D.M.D.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Melrose, MA
  • NPI 1235119603
  NPD (past)

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

{
    "created_epoch": "1510012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510012800000",
    "number": "1831602382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 LYNN FELLS PKWY",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021762327",
            "telephone_number": "781-665-1355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 LYNN FELLS PKWY",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021762327",
            "telephone_number": "781-665-1355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELROSE ORTHODONTICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-07",
        "last_updated": "2017-11-07",
        "status": "A",
        "authorized_official_last_name": "CASEY",
        "authorized_official_first_name": "MOIRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-665-1355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MA",
            "license": "DN1856182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melrose Family Foot Care Group
• Melrose Family Foot Care Group Inc
• Melrose Family Opticians LLC
• Melrose Internal Medicine Assoc PC
• Melrose Medical Associates
• Melrose Surgical Associates, PC
• Melrose Wakefield Cardiac Testing Partnership
• Melrose Wakefield Emergency Physicians, Inc.
• Melrose Wakefield Oral Surgery Inc.
• Aglisa Memia, MD

• Orthodontics and Dentofacial Orthopedics Dentistry in Melrose, MA
• Providers in Melrose, MA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2017; 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.