Clarke Street Family Dental LLC

Primary specialty

DentistTaxonomy code 122300000X

License

18996 Issued in MA

Legal business name

CLARKE STREET FAMILY DENTAL LLC

Practice address

16 Clarke St
Lexington, MA 02421-4988

Phone

(781) 861-0608

Fax

(781) 861-0608

NPI assigned

Nov 8, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Silva Andonyan, D.M.D

Title

Dentist

Phone

(781) 861-0608

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1289174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289174400000",
    "number": "1841591740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 CLARKE ST",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024214988",
            "telephone_number": "781-861-0608",
            "fax_number": "781-861-0608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 CLARKE ST",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024214988",
            "telephone_number": "781-861-0608",
            "fax_number": "781-861-0608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARKE STREET FAMILY DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-08",
        "last_updated": "2010-11-08",
        "status": "A",
        "authorized_official_last_name": "ANDONYAN",
        "authorized_official_first_name": "SILVA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "781-861-0608",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MA",
            "license": "18996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chukwudi Chinaka
• Paulina Chlopecka
• Yoo-Yun Cho-Chang, PH.D.
• Carolyn Ann Claiborne
• Amanda Rossi Clapp
• Emma Clay, RN
• Samarrah Fine Clayman, MSW
• Clearview Dermatology Greater Boston
• Elisa Elkin Cleary, LICSW
• Deborah Olds Clendaniel, LICSW

• Dentist in Lexington, MA
• Providers in Lexington, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.