NPIMap

Organization Active NPI

Dana Dental Associates

  • General Practice Dentistry
  • Cambridge, MA
National Provider Identifier
1912292343
Registry record updated Jun 14, 2011
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Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12436 Issued in MA
Legal business name
DANA DENTAL ASSOCIATES
Practice address
10 Magazine St
Cambridge, MA 02139-3391
Phone
(617) 876-8734
Fax
(617) 876-9518
NPI assigned
Jun 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2011

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

Authorized official

Name
Dr. Richard Michael Dana, D.D.S
Title
Owner
Phone
(617) 876-8734

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 12436 MA Primary

Addresses

Primary practice location

10 Magazine St
Cambridge, MA 02139-3391

Mailing address

10 Magazine St
Cambridge, MA 02139-3391
Phone (617) 876-8734

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1308009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308009600000",
    "number": "1912292343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MAGAZINE ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021393391",
            "telephone_number": "617-876-8734",
            "fax_number": "617-876-9518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MAGAZINE ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021393391",
            "telephone_number": "617-876-8734",
            "fax_number": "617-876-9518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANA DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-14",
        "last_updated": "2011-06-14",
        "status": "A",
        "authorized_official_last_name": "DANA",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-876-8734",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "12436",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 14, 2011; 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.