Organization Active NPI

Beverly Farms Dental PLLC

  • Dental Clinic/Center
  • Beverly, MA
National Provider Identifier
1881180156
Registry record updated Jul 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
BEVERLY FARMS DENTAL PLLC
Practice address
50 West St
Beverly, MA 01915-2228
Phone
(617) 291-6007
NPI assigned
Jul 10, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2018

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

Authorized official

Name
Dr. Andrew Luccio
Title
Manager
Phone
(617) 291-6007

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

50 West St
Beverly, MA 01915-2228

Mailing address

772 E 4TH St Unit 4
Boston, MA 02127-3241

National Provider Directory

National Provider Directory

Locations

50 West St
Beverly, MA 01915
Phone (617) 291-6007

NPI Registry JSON

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

{
    "created_epoch": "1531180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531180800000",
    "number": "1881180156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "772 E 4TH ST UNIT 4",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021273241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 WEST ST",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019152228",
            "telephone_number": "617-291-6007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVERLY FARMS DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-10",
        "last_updated": "2018-07-10",
        "status": "A",
        "authorized_official_last_name": "LUCCIO",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "617-291-6007",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2018; 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.