NPIMap

Organization Active NPI

Eric D Dionne DDS PC

  • Endodontics
  • Worcester, MA
National Provider Identifier
1871610584
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
19569 Issued in MA
Legal business name
ERIC D DIONNE DDS PC
Practice address
255 Park Ave
Suite 3303
Worcester, MA 01609-1953
Phone
(508) 755-3636
NPI assigned
Mar 26, 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. Eric Darius Dionne, DDSNPI 1205040656
Title
President
Phone
(617) 378-8277

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 19569 MA Primary

Addresses

Primary practice location

255 Park Ave
Suite 3303
Worcester, MA 01609-1953

Mailing address

80 Hope Ave
Suite #518
Waltham, MA 02453-2743
Phone (617) 378-8277

National Provider Directory

National Provider Directory

Locations

255 Park Ave
Ste 3303
Worcester, MA 01609
Phone (508) 755-3636

Practitioners & affiliated clinicians

Practitioners 1

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": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871610584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 HOPE AVE",
            "address_2": "SUITE #518",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024532743",
            "telephone_number": "617-378-8277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 PARK AVE",
            "address_2": "SUITE 3303",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016091953",
            "telephone_number": "508-755-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC D DIONNE DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DIONNE",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "DARIUS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-378-8277",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "MA",
            "license": "19569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, 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.