Active NPI
Beverly Farms Dental PLLC
- Dental Clinic/Center
- Beverly, MA
National Provider Identifier
1881180156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.