Dentusa,PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19705 Issued in MA

Legal business name

DENTUSA,PC

Practice address

883 Edgell Rd
Suites # 201-3
Framingham, MA 01701-3978

Phone

(508) 877-7760

Fax

(508) 877-7776

NPI assigned

May 15, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Reza M. Madani, AAS,BS,DMD,FAGDNPI 1225068133

Title

Owner

Phone

(508) 877-7760

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Nobscot Dental Care Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Reza M. Madani, AAS,BS,DMD,FAGD

  • Dentist
  • Framingham, MA
  • NPI 1225068133
  NPD (past) Authorized official

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902012834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "883 EDGELL RD",
            "address_2": "SUITES # 201-3",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017013978",
            "telephone_number": "508-877-7760",
            "fax_number": "508-877-7776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "883 EDGELL RD",
            "address_2": "SUITES # 201-3",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017013978",
            "telephone_number": "508-877-7760",
            "fax_number": "508-877-7776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTUSA,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MADANI",
        "authorized_official_first_name": "REZA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-877-7760",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AAS,BS,DMD,FAGD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "19705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1",
            "identifier": "1225068133",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nobscot Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Meaghan Demers-Peel
• Nicole Lynn Demichele
• Dental Centers,LLC
• Dental Specialty Partners of New England
• Dentplant Framingham LLC
• Kathryn Charlotte Depaolo, MA
• Brianne Depina
• Keyla Mari Depina
• Stephanie Depina
• Andree P Derappe, M.D.

• General Practice Dentistry in Framingham, MA
• Providers in Framingham, MA by specialty
• General Practice Dentistry in Massachusetts

• 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.