NPIMap

Organization Active NPI

MD Consultants, Inc

  • Dental Clinic/Center
  • Methuen, MA
National Provider Identifier
1902356306
Registry record updated Oct 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DN1856357 Issued in MA
Legal business name
MD CONSULTANTS, INC
Doing business as
Kangaroo Smiles
Practice address
413 Broadway
Suite B
Methuen, MA 01844-2062
Phone
(978) 425-1496
Fax
(978) 215-5265
NPI assigned
Oct 10, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2016

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

Authorized official

Name
Dr. Simon Beylin, DDS, MMSC, MDT
Title
Vice President
Phone
(978) 425-1496

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DN1856357 MA Primary

Addresses

Primary practice location

413 Broadway
Suite B
Methuen, MA 01844-2062

Mailing address

413 Broadway
Suite B
Methuen, MA 01844-2062
Phone (978) 425-1496

Other names 1

  • Kangaroo Smiles Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Kangaroo Smiles2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

413 Broadway
Ste B
Methuen, MA 01844
Phone (978) 258-1363

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": "1476057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476057600000",
    "number": "1902356306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 BROADWAY",
            "address_2": "SUITE B",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018442062",
            "telephone_number": "978-425-1496",
            "fax_number": "978-215-5265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 BROADWAY",
            "address_2": "SUITE B",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018442062",
            "telephone_number": "978-425-1496",
            "fax_number": "978-215-5265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD CONSULTANTS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-10",
        "last_updated": "2016-10-10",
        "status": "A",
        "authorized_official_last_name": "BEYLIN",
        "authorized_official_first_name": "SIMON",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "978-425-1496",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MMSC, MDT"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MA",
            "license": "DN1856357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kangaroo Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 10, 2016; 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.