NPIMap

Organization Active NPI

Stephen H Halem DMD PC

  • Periodontics
  • North Andover, MA
National Provider Identifier
1891907960
Registry record updated Mar 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
10645 Issued in MA
Legal business name
STEPHEN H HALEM DMD PC
Practice address
57 High St
North Andover, MA 01845-2637
Phone
(978) 975-8008
Fax
(978) 975-7788
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2012

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

Authorized official

Name
Dr. Stephen H Halem
Title
Owner
Phone
(978) 975-8008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X 10645 MA Primary

Addresses

Primary practice location

57 High St
North Andover, MA 01845-2637

Mailing address

57 High St
North Andover, MA 01845-2637
Phone (978) 975-8008

National Provider Directory

National Provider Directory

Locations

57 High St
North Andover, MA 01845
Phone (978) 975-8008

Practitioners & affiliated clinicians

Practitioners 1

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": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332201600000",
    "number": "1891907960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 HIGH ST",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018452637",
            "telephone_number": "978-975-8008",
            "fax_number": "978-975-7788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 HIGH ST",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018452637",
            "telephone_number": "978-975-8008",
            "fax_number": "978-975-7788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN H HALEM DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2012-03-20",
        "status": "A",
        "authorized_official_last_name": "HALEM",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-975-8008",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "MA",
            "license": "10645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Andover, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2012; 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.