Organization Active NPI

Endodontic Specialists

  • Endodontics
  • Methuen, MA
National Provider Identifier
1891874988
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
ENDODONTIC SPECIALISTS
Practice address
13 Branch St
Methuen, MA 01844-1975
Phone
(978) 687-3131
Fax
(978) 687-7009
NPI assigned
Nov 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Rudolph L Lantelme, D.D.S.
Title
Endodontist
Phone
(978) 687-3131

Specialties & licenses 1

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

Addresses

Primary practice location

13 Branch St
Methuen, MA 01844-1975

Mailing address

13 Branch St
Methuen, MA 01844-1975
Phone (978) 687-3131

Other identifiers 1

IdentifierTypeStateIssuer
X11812OtherMABLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

13 Branch St
Methuen, MA 01844
Phone (978) 683-4114

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891874988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 BRANCH ST",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018441975",
            "telephone_number": "978-687-3131",
            "fax_number": "978-687-7009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 BRANCH ST",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018441975",
            "telephone_number": "978-687-3131",
            "fax_number": "978-687-7009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDODONTIC SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LANTELME",
        "authorized_official_first_name": "RUDOLPH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ENDODONTIST",
        "authorized_official_telephone_number": "978-687-3131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "X11812",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Methuen, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.