NPIMap

Organization Active NPI

Rock Street Pedodontics Inc

  • Pediatric Dentistry
  • Fall River, MA
National Provider Identifier
1902321136
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
ROCK STREET PEDODONTICS INC
Practice address
551 Rock St
Fall River, MA 02720-3435
Phone
(774) 357-5670
Fax
(774) 357-5687
NPI assigned
Aug 9, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Jon Paul Van Regenmorter, DDS
Title
Owner
Phone
(774) 357-5670

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

551 Rock St
Fall River, MA 02720-3435

Mailing address

551 Rock St
Fall River, MA 02720-3435
Phone (774) 357-5670

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1502236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1902321136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 ROCK ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027203435",
            "telephone_number": "774-357-5670",
            "fax_number": "774-357-5687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 ROCK ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027203435",
            "telephone_number": "774-357-5670",
            "fax_number": "774-357-5687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCK STREET PEDODONTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-09",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "VAN REGENMORTER",
        "authorized_official_first_name": "JON PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "774-357-5670",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.