NPIMap

Organization Active NPI

Prosthodontic Associates PC

  • Prosthodontics
  • Lynnfield, MA
National Provider Identifier
1922522747
Registry record updated Aug 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
18554 Issued in MA
Legal business name
PROSTHODONTIC ASSOCIATES PC
Practice address
50 Salem St.
3Rd Floor
Lynnfield, MA 01940
Phone
(781) 246-2211
NPI assigned
Aug 2, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2017

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

Authorized official

Name
Dr. Walid J Dehni, DMD
Title
President
Phone
(781) 246-2211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ProsthodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0700X 18554 MA Primary

Addresses

Primary practice location

50 Salem St.
3Rd Floor
Lynnfield, MA 01940

Mailing address

50 Salem St
3Rd Floor
Lynnfield, MA 01940
Phone (781) 246-2211

National Provider Directory

National Provider Directory

Locations

50 Salem St
Fl 3
Lynnfield, MA 01940
Phone (781) 246-2211

NPI Registry JSON

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

{
    "created_epoch": "1501632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501632000000",
    "number": "1922522747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 SALEM ST",
            "address_2": "3RD FLOOR",
            "city": "LYNNFIELD",
            "state": "MA",
            "postal_code": "01940",
            "telephone_number": "781-246-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 SALEM ST.",
            "address_2": "3RD FLOOR",
            "city": "LYNNFIELD",
            "state": "MA",
            "postal_code": "01940",
            "telephone_number": "781-246-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSTHODONTIC ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-02",
        "last_updated": "2017-08-02",
        "status": "A",
        "authorized_official_last_name": "DEHNI",
        "authorized_official_first_name": "WALID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-246-2211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "MA",
            "license": "18554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2017; 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.