Thakkar Dental PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

THAKKAR DENTAL PC

Practice address

100 Amesbury St Ste 202
Lawrence, MA 01840-1321

Phone

(917) 691-1775

NPI assigned

Jun 23, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Vick Thakkar, DDSNPI 1750791380

Title

Dentist

Phone

(917) 691-1775

Specialties & licenses 1

Addresses

Other names 1

• Total Dental Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vick Indravadan Thakkar, DDS

  • General Practice Dentistry
  • Methuen, MA
  • NPI 1750791380
  NPD Authorized official

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

{
    "created_epoch": "1624406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624406400000",
    "number": "1912576885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 MYSTIC VALLEY PKWY APT W501",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021557605",
            "telephone_number": "917-691-1775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 AMESBURY ST STE 202",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018401321",
            "telephone_number": "917-691-1775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THAKKAR DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-23",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A",
        "authorized_official_last_name": "THAKKAR",
        "authorized_official_first_name": "VICK",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "917-691-1775",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Total Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sett Tezil, THERAPEUTIC MENTOR
• Angela Thach
• Thu Minh Thach, OD
• John Thagard
• Khoa Thai
• The Balance Center
• The Best of the Best LLC
• The Braces Place
• The Commonwealth of Massachusetts
• The German Old Folk'S Home of Lawrence Mass, Inc

• Dental Clinic/Center in Lawrence, MA
• Providers in Lawrence, MA by specialty
• Dental Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; 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.