Organization Active NPI

Attleboro Pediatric Dentistry PLLC

  • Pediatric Dentistry
  • Attleboro, MA
National Provider Identifier
1932739950
Registry record updated Jan 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
ATTLEBORO PEDIATRIC DENTISTRY PLLC
Practice address
550 N Main St
Attleboro, MA 02703-1735
Phone
(508) 222-2510
Fax
(508) 222-3903
NPI assigned
Jan 17, 2020
Last updated
Jan 17, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2020

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

Authorized official

Name
Vicki Demeritt
Title
Financial Manager
Phone
(508) 222-2510

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X
Pediatric Dentistry 1223P0221X Primary

Addresses

Primary practice location

550 N Main St
Attleboro, MA 02703-1735

Mailing address

550 N Main St
Attleboro, MA 02703-1735
Phone (508) 222-2510

National Provider Directory

National Provider Directory

Locations

550 N Main St
Attleboro, MA 02703
Phone (508) 222-2510

NPI Registry JSON

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

{
    "created_epoch": "1579219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579219200000",
    "number": "1932739950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 N MAIN ST",
            "city": "ATTLEBORO",
            "state": "MA",
            "postal_code": "027031735",
            "telephone_number": "508-222-2510",
            "fax_number": "508-222-3903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 N MAIN ST",
            "city": "ATTLEBORO",
            "state": "MA",
            "postal_code": "027031735",
            "telephone_number": "508-222-2510",
            "fax_number": "508-222-3903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATTLEBORO PEDIATRIC DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-17",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A",
        "authorized_official_last_name": "DEMERITT",
        "authorized_official_first_name": "VICKI",
        "authorized_official_title_or_position": "FINANCIAL MANAGER",
        "authorized_official_telephone_number": "508-222-2510"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Attleboro, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.