NPIMap

Organization Active NPI

H Ivan Orup Jr DMD MMSC PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Concord, MA
National Provider Identifier
1871647354
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
18351 Issued in MA
Legal business name
H IVAN ORUP JR DMD MMSC PC
Practice address
290 Baker Avenue Suite 204
Concord, MA 01742
Phone
(978) 369-3690
Fax
(978) 369-3256
NPI assigned
Jan 22, 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. Hans Ivan Orup Jr., DMD MMSC
Title
Owner President Orthodontist
Phone
(978) 369-3690

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 18351 MA Primary

Addresses

Primary practice location

290 Baker Avenue Suite 204
Concord, MA 01742

Mailing address

290 Baker Avenue Suite 204
Concord, MA 01742
Phone (978) 369-3690

National Provider Directory

National Provider Directory

Locations

290 Baker Ave
Ste 204
Concord, MA 01742
Phone (978) 369-3690

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871647354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 BAKER AVENUE SUITE 204",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "01742",
            "telephone_number": "978-369-3690",
            "fax_number": "978-369-3256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 BAKER AVENUE SUITE 204",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "01742",
            "telephone_number": "978-369-3690",
            "fax_number": "978-369-3256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H IVAN ORUP JR DMD MMSC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ORUP",
        "authorized_official_first_name": "HANS",
        "authorized_official_middle_name": "IVAN",
        "authorized_official_title_or_position": "OWNER PRESIDENT ORTHODONTIST",
        "authorized_official_telephone_number": "978-369-3690",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD MMSC"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MA",
            "license": "18351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, 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.