Organization Active NPI

William Mitchell Jr, LLC

  • Ambulatory Surgical Clinic/Center
  • Wellesley, MA
National Provider Identifier
1881008670
Registry record updated Jun 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
WILLIAM MITCHELL JR, LLC
Practice address
65 Walnut St
Suite 440
Wellesley, MA 02481-2118
Phone
(781) 235-9089
NPI assigned
Jun 19, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2014

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

Authorized official

Name
Matthew Dupee
Title
Practice Administrator
Phone
(781) 235-9089

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X MA Primary

Addresses

Primary practice location

65 Walnut St
Suite 440
Wellesley, MA 02481-2118

Mailing address

65 Walnut St
Suite 440
Wellesley, MA 02481-2118
Phone (781) 235-9089

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1403136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403136000000",
    "number": "1881008670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 WALNUT ST",
            "address_2": "SUITE 440",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024812118",
            "telephone_number": "781-235-9089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 WALNUT ST",
            "address_2": "SUITE 440",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024812118",
            "telephone_number": "781-235-9089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM MITCHELL JR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-19",
        "last_updated": "2014-06-19",
        "status": "A",
        "authorized_official_last_name": "DUPEE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "781-235-9089"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MA",
            "license": null,
            "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 Jun 19, 2014; 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.