NPIMap

Organization Active NPI

Donald E Jaffe, DMD PC

  • General Practice Dentistry
  • New Bedford, MA
National Provider Identifier
1871764563
Registry record updated Mar 20, 2008
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Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10204 Issued in MA
Legal business name
DONALD E JAFFE, DMD PC
Practice address
319 Union St # a
New Bedford, MA 02740-5020
Phone
(508) 993-1728
Fax
(508) 997-2127
NPI assigned
Mar 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2008

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

Authorized official

Name
Dr. Donald Jaffe, DMD
Title
President
Phone
(508) 993-1728

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 10204 MA Primary

Addresses

Primary practice location

319 Union St # a
New Bedford, MA 02740-5020

Mailing address

319 Union St # a
New Bedford, MA 02740-5020
Phone (508) 993-1728

Other identifiers 1

IdentifierTypeStateIssuer
0218677MedicaidMA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1205971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205971200000",
    "number": "1871764563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 UNION ST # A",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027405020",
            "telephone_number": "508-993-1728",
            "fax_number": "508-997-2127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 UNION ST # A",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027405020",
            "telephone_number": "508-993-1728",
            "fax_number": "508-997-2127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD E JAFFE, DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-20",
        "last_updated": "2008-03-20",
        "status": "A",
        "authorized_official_last_name": "JAFFE",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-993-1728",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "10204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0218677",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bedford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2008; 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.