NPIMap

Organization Active NPI

Hyannis Harbor Dental, PC

  • General Practice Dentistry
  • Hyannis, MA
National Provider Identifier
1891850996
Registry record updated Jun 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
MA154141 Issued in MA
Legal business name
HYANNIS HARBOR DENTAL, PC
Practice address
310 South St
Hyannis, MA 02601-3932
Phone
(508) 775-1955
NPI assigned
Dec 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2011

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

Authorized official

Name
Dr. Edward E Egan, DMDNPI 1184657827
Title
Owner
Phone
(508) 775-1955

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X MA154141 MA Primary

Addresses

Primary practice location

310 South St
Hyannis, MA 02601-3932

Mailing address

310 South St
Hyannis, MA 02601-3932
Phone (508) 775-1955

National Provider Directory

National Provider Directory

Locations

310 South St
Hyannis, MA 02601
Phone (508) 775-1955

Practitioners & affiliated clinicians

Practitioners 3

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": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309219200000",
    "number": "1891850996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 SOUTH ST",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026013932",
            "telephone_number": "508-775-1955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 SOUTH ST",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026013932",
            "telephone_number": "508-775-1955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYANNIS HARBOR DENTAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2011-06-28",
        "status": "A",
        "authorized_official_last_name": "EGAN",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-775-1955",
        "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": "MA154141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyannis, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2011; 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.