Organization Active NPI

Malden Family Dental PC

  • Dentist
  • Malden, MA
National Provider Identifier
1841462017
Registry record updated Mar 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
20485 Issued in MA
Legal business name
MALDEN FAMILY DENTAL PC
Practice address
7 Pleasant St
Malden, MA 02148-5106
Phone
(781) 388-0900
Fax
(781) 388-0910
NPI assigned
Mar 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2008

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

Authorized official

Name
Alex Faigel
Title
Manager
Phone
(617) 823-2111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 20485 MA Primary

Addresses

Primary practice location

7 Pleasant St
Malden, MA 02148-5106

Mailing address

7 Pleasant St
Malden, MA 02148-5106
Phone (781) 388-0900

Other identifiers 1

IdentifierTypeStateIssuer
0203980MedicaidMA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1206662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206662400000",
    "number": "1841462017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 PLEASANT ST",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021485106",
            "telephone_number": "781-388-0900",
            "fax_number": "781-388-0910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 PLEASANT ST",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021485106",
            "telephone_number": "781-388-0900",
            "fax_number": "781-388-0910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALDEN FAMILY DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-28",
        "last_updated": "2008-03-28",
        "status": "A",
        "authorized_official_last_name": "FAIGEL",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "617-823-2111"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MA",
            "license": "20485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0203980",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Malden, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.