Organization Active NPI

Duxbury Childrens Dentistry LLC

  • Pediatric Dentistry
  • Duxbury, MA
National Provider Identifier
1922013572
Registry record updated May 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
20495 Issued in MA
Legal business name
DUXBURY CHILDRENS DENTISTRY LLC
Practice address
95 Tremont Street
Suite 18
Duxbury, MA 02332
Phone
(781) 934-7111
Fax
(781) 934-7125
NPI assigned
Jul 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2014

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

Authorized official

Name
Dr. Joy Marie John, DMDNPI 1346653409
Title
Owner Dentist
Phone
(781) 934-7111

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
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 20495 MA Primary

Addresses

Primary practice location

95 Tremont Street
Suite 18
Duxbury, MA 02332

Mailing address

95 Tremont Street
Suite 18
Duxbury, MA 02332
Phone (781) 934-7111

National Provider Directory

National Provider Directory

Locations

95 Tremont St
Ste 18
Duxbury, MA 02332
Phone (781) 710-9006

Practitioners & affiliated clinicians

Practitioners 2

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": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400198400000",
    "number": "1922013572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 TREMONT STREET",
            "address_2": "SUITE 18",
            "city": "DUXBURY",
            "state": "MA",
            "postal_code": "02332",
            "telephone_number": "781-934-7111",
            "fax_number": "781-934-7125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 TREMONT STREET",
            "address_2": "SUITE 18",
            "city": "DUXBURY",
            "state": "MA",
            "postal_code": "02332",
            "telephone_number": "781-934-7111",
            "fax_number": "781-934-7125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUXBURY CHILDRENS DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2014-05-16",
        "status": "A",
        "authorized_official_last_name": "JOHN",
        "authorized_official_first_name": "JOY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "781-934-7111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MA",
            "license": "20495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duxbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2014; 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.