Active NPI
Apollo Dental Ass.
- General Practice Dentistry
- Cambridge, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 19385
- Legal business name
- APOLLO DENTAL ASS.
- Practice address
- 413 Mass Ave
Cambridge, MA 02139-4102 - Phone
- (617) 354-1678
- Fax
- (617) 534-2927
- NPI assigned
- Sep 6, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Dieutrang Bui, DMD
- Title
- Owner
- Phone
- (617) 354-1678
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 19385 | MA | Primary |
Addresses
Primary practice location
413 Mass Ave
Cambridge, MA 02139-4102
Mailing address
413 Mass Ave
Cambridge, MA 02139-4102
Phone (617) 354-1678
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9703195 | Medicaid | MA |
National Provider Directory
National Provider Directory- Tax ID family
- Apollo Dental Ass
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Dentistry
- Dorchester, MA
- NPI 1700148301
Locations
413 Massachusetts Ave
Cambridge, MA 02139
Phone (617) 354-1678
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- General Practice Dentistry
- Dorchester, MA
- NPI 1700148301
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Cambridge, MA
- NPI 1437171659
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189036800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1339372800000",
"number": "1902090632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "413 MASS AVE",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021394102",
"telephone_number": "617-354-1678",
"fax_number": "617-534-2927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "413 MASS AVE",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021394102",
"telephone_number": "617-354-1678",
"fax_number": "617-534-2927"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "APOLLO DENTAL ASS.",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-06",
"last_updated": "2012-06-11",
"status": "A",
"authorized_official_last_name": "BUI",
"authorized_official_first_name": "DIEUTRANG",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "617-354-1678",
"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": "19385",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9703195",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cambridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.