NPIMap

Organization Active NPI

Charles W. Malta, D.D.S., P.C.

  • Dentist
  • Stoneham, MA
National Provider Identifier
1871765420
Registry record updated Mar 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
16850 Issued in MA
Legal business name
CHARLES W. MALTA, D.D.S., P.C.
Practice address
158 Main St
Stoneham, MA 02180-1619
Phone
(781) 438-5200
NPI assigned
Mar 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2008

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

Authorized official

Name
Dr. Charles W. Malta, D.D.S.NPI 1477657781
Title
Dentist
Phone
(781) 438-5200

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 16850 MA Primary

Addresses

Primary practice location

158 Main St
Stoneham, MA 02180-1619

Mailing address

158 Main St
Stoneham, MA 02180-1619
Phone (781) 438-5200

National Provider Directory

National Provider Directory

Locations

158 Main St
Stoneham, MA 02180
Phone (781) 438-5200

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": "1206316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206316800000",
    "number": "1871765420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 MAIN ST",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021801619",
            "telephone_number": "781-438-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 MAIN ST",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021801619",
            "telephone_number": "781-438-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES W. MALTA, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-24",
        "last_updated": "2008-03-24",
        "status": "A",
        "authorized_official_last_name": "MALTA",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "781-438-5200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MA",
            "license": "16850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stoneham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.