Organization Active NPI

Melrose Center for Oral Health

  • General Practice Dentistry
  • Melrose, MA
National Provider Identifier
1912406091
Registry record updated Feb 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
17462 Issued in MA
Legal business name
MELROSE CENTER FOR ORAL HEALTH
Practice address
944 Main St
Melrose, MA 02176
Phone
(781) 662-3335
Fax
(781) 662-6366
NPI assigned
Feb 5, 2018
Last updated
Feb 5, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2018

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

Authorized official

Name
Dr. Zina Gambacorta, DMDNPI 1801954946
Title
Owner
Phone
(781) 662-3335

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)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 17462 MA Primary

Addresses

Primary practice location

944 Main St
Melrose, MA 02176

Mailing address

944 Main St
Melrose, MA 02176
Phone (781) 662-3335

Other practice location 1

944 Main St
Melrose, MA 02176
Phone (781) 662-3335

National Provider Directory

National Provider Directory

Locations

944 Main St
Melrose, MA 02176
Phone (781) 662-3335

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1517788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517788800000",
    "number": "1912406091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "944 MAIN ST",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "02176",
            "telephone_number": "781-662-3335",
            "fax_number": "781-662-6366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "944 MAIN ST",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "02176",
            "telephone_number": "781-662-3335",
            "fax_number": "781-662-6366"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "944 Main St",
            "address_purpose": "LOCATION",
            "city": "Melrose",
            "state": "MA",
            "postal_code": "02176",
            "country_code": "US",
            "telephone_number": "781-662-3335",
            "fax_number": "781-662-6366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MELROSE CENTER FOR ORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-05",
        "last_updated": "2018-02-05",
        "status": "A",
        "authorized_official_last_name": "GAMBACORTA",
        "authorized_official_first_name": "ZINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-662-3335",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "17462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melrose, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2018; 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.