NPIMap

Organization Active NPI

Mass Ave Perio

  • Periodontics
  • Arlington, MA
National Provider Identifier
1841831443
Registry record updated Oct 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
MASS AVE PERIO
Practice address
355 Massachusetts Ave
Arlington, MA 02474-6719
Phone
(617) 872-7023
NPI assigned
Oct 4, 2019
Last updated
Oct 4, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2019

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

Authorized official

Name
Dr. Sarah Courtney, DMDNPI 1891174629
Title
Owner, Manager
Phone
(617) 872-7023

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X NU Primary

Addresses

Primary practice location

355 Massachusetts Ave
Arlington, MA 02474-6719

Mailing address

355 Mass Ave
Arlington, MA 02474-6719
Phone (617) 872-7023

National Provider Directory

National Provider Directory

Locations

355 Massachusetts Ave
Arlington, MA 02474
Phone (617) 858-0301

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1570147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570147200000",
    "number": "1841831443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 MASS AVE",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024746719",
            "telephone_number": "617-872-7023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 MASSACHUSETTS AVE",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024746719",
            "telephone_number": "617-872-7023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASS AVE PERIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-04",
        "last_updated": "2019-10-04",
        "status": "A",
        "authorized_official_last_name": "COURTNEY",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "OWNER, MANAGER",
        "authorized_official_telephone_number": "617-872-7023",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2019; 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.