NPIMap

Organization Active NPI

Water Street Family Dental PC

  • Dentist
  • Haverhill, MA
National Provider Identifier
1922270198
Registry record updated Mar 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
20485 Issued in MA
Legal business name
WATER STREET FAMILY DENTAL PC
Practice address
2 Water St
Haverhill, MA 01830-6229
Phone
(978) 372-1999
Fax
(978) 372-1988
NPI assigned
Mar 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2008

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

Authorized official

Name
Mr. Alex Faigel
Title
Manager
Phone
(617) 823-2111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 20485 MA Primary

Addresses

Primary practice location

2 Water St
Haverhill, MA 01830-6229

Mailing address

2 Water St
Haverhill, MA 01830-6229
Phone (978) 372-1999

Other identifiers 1

IdentifierTypeStateIssuer
0203980MedicaidMA

National Provider Directory

National Provider Directory
Tax ID family
Dr Dental2 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.

NPI Registry JSON

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

{
    "created_epoch": "1206662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206662400000",
    "number": "1922270198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 WATER ST",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018306229",
            "telephone_number": "978-372-1999",
            "fax_number": "978-372-1988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 WATER ST",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018306229",
            "telephone_number": "978-372-1999",
            "fax_number": "978-372-1988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATER STREET FAMILY DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-28",
        "last_updated": "2008-03-28",
        "status": "A",
        "authorized_official_last_name": "FAIGEL",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "617-823-2111",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MA",
            "license": "20485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0203980",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Haverhill, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2008; 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.