NPIMap

Organization Active NPI

Pediatric Dental Healthcare

  • Dentist
  • Plainville, MA
National Provider Identifier
1861103574
Registry record updated Dec 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
PEDIATRIC DENTAL HEALTHCARE
Practice address
16 Washington St
Plainville, MA 02762-2641
Phone
(508) 695-2064
Fax
(508) 695-8492
NPI assigned
Dec 13, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2022

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

Authorized official

Name
Michele Rossi
Title
Financial Cooridnator
Phone
(508) 695-2064

Specialties & licenses 1

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

Addresses

Primary practice location

16 Washington St
Plainville, MA 02762-2641

Mailing address

16 Washington St
Plainville, MA 02762-2641
Phone (508) 695-2064

National Provider Directory

National Provider Directory

Locations

16 Washington St
Plainville, MA 02762
Phone (508) 695-2064

Practitioners & affiliated clinicians

Practitioners 6

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": "1670889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670889600000",
    "number": "1861103574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 WASHINGTON ST",
            "city": "PLAINVILLE",
            "state": "MA",
            "postal_code": "027622641",
            "telephone_number": "508-695-2064",
            "fax_number": "508-695-8492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 WASHINGTON ST",
            "city": "PLAINVILLE",
            "state": "MA",
            "postal_code": "027622641",
            "telephone_number": "508-695-2064",
            "fax_number": "508-695-8492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC DENTAL HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-13",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-12",
        "status": "A",
        "authorized_official_last_name": "ROSSI",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "FINANCIAL COORIDNATOR",
        "authorized_official_telephone_number": "508-695-2064"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainville, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; 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.