NPIMap

Organization Active NPI

Wellesley Endodontics, Inc.

  • Endodontics
  • Wellesley, MA
National Provider Identifier
1861530743
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
12570 Issued in MA
Legal business name
WELLESLEY ENDODONTICS, INC.
Practice address
40 Grove St
Suite 420
Wellesley, MA 02482-7702
Phone
(781) 237-1801
Fax
(781) 237-8803
NPI assigned
Feb 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. C. Robert Goldberg, D.M.D.NPI 1568500452
Title
Endodontist
Phone
(781) 237-1801

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X 12570 MA Primary

Addresses

Primary practice location

40 Grove St
Suite 420
Wellesley, MA 02482-7702

Mailing address

40 Grove St
Suite 420
Wellesley, MA 02482-7702
Phone (781) 237-1801

National Provider Directory

National Provider Directory

Locations

40 Grove St
Ste 420
Wellesley, MA 02482
Phone (781) 237-1801

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": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861530743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 GROVE ST",
            "address_2": "SUITE 420",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024827702",
            "telephone_number": "781-237-1801",
            "fax_number": "781-237-8803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 GROVE ST",
            "address_2": "SUITE 420",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024827702",
            "telephone_number": "781-237-1801",
            "fax_number": "781-237-8803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLESLEY ENDODONTICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOLDBERG",
        "authorized_official_first_name": "C. ROBERT",
        "authorized_official_title_or_position": "ENDODONTIST",
        "authorized_official_telephone_number": "781-237-1801",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "MA",
            "license": "12570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellesley, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.