NPIMap

Organization Active NPI

Marina Bay Dental Associates, PC

  • General Practice Dentistry
  • Quincy, MA
National Provider Identifier
1932276128
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
20263 Issued in MA
Legal business name
MARINA BAY DENTAL ASSOCIATES, PC
Practice address
308 Victory Rd
Quincy, MA 02171-3129
Phone
(617) 479-8080
NPI assigned
Nov 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jenny ChongNPI 1982727889
Title
Owner, Dentist
Phone
(617) 479-8080

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 DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 20263 MA Primary

Addresses

Primary practice location

308 Victory Rd
Quincy, MA 02171-3129

Mailing address

308 Victory Rd
Quincy, MA 02171-3129
Phone (617) 479-8080

National Provider Directory

National Provider Directory

Locations

308 Victory Rd
Quincy, MA 02171
Phone (617) 479-8080

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": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932276128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 VICTORY RD",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021713129",
            "telephone_number": "617-479-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 VICTORY RD",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021713129",
            "telephone_number": "617-479-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARINA BAY DENTAL ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHONG",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "OWNER, DENTIST",
        "authorized_official_telephone_number": "617-479-8080",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "20263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.