NPIMap

Organization Active NPI

Sudbury Endodontics, PC

  • Endodontics
  • Sudbury, MA
National Provider Identifier
1891874632
Registry record updated Feb 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
20095 Issued in MA
Legal business name
SUDBURY ENDODONTICS, PC
Practice address
111 Boston Post Rd
Suite 215
Sudbury, MA 01776-2463
Phone
(978) 443-7101
NPI assigned
Nov 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2008

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

Authorized official

Name
Michael L Zepf
Title
Operations
Phone
(508) 740-9928

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X 20095 MA Primary

Addresses

Primary practice location

111 Boston Post Rd
Suite 215
Sudbury, MA 01776-2463

Mailing address

111 Boston Post Rd
Suite 215
Sudbury, MA 01776-2463
Phone (978) 443-7101

National Provider Directory

National Provider Directory

Locations

111 Boston Post Rd
Ste 215
Sudbury, MA 01776
Phone (978) 443-7101

Practitioners & affiliated clinicians

Practitioners 2

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": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203552000000",
    "number": "1891874632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 BOSTON POST RD",
            "address_2": "SUITE 215",
            "city": "SUDBURY",
            "state": "MA",
            "postal_code": "017762463",
            "telephone_number": "978-443-7101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 BOSTON POST RD",
            "address_2": "SUITE 215",
            "city": "SUDBURY",
            "state": "MA",
            "postal_code": "017762463",
            "telephone_number": "978-443-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUDBURY ENDODONTICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2008-02-21",
        "status": "A",
        "authorized_official_last_name": "ZEPF",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OPERATIONS",
        "authorized_official_telephone_number": "508-740-9928"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "MA",
            "license": "20095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sudbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.