Organization Active NPI

Peter M Frasca D.M.D, P.C.

  • General Practice Dentistry
  • Beverly, MA
National Provider Identifier
1942347331
Registry record updated Jul 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12972 Issued in MA
Legal business name
PETER M FRASCA D.M.D, P.C.
Practice address
109 Dodge St
Beverly, MA 01915-1053
Phone
(978) 927-3966
Fax
(978) 921-9171
NPI assigned
Feb 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2008

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

Authorized official

Name
Dr. Peter M Frasca, DMDNPI 1972640340
Title
President
Phone
(978) 927-3966

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 MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 12972 MA Primary

Addresses

Primary practice location

109 Dodge St
Beverly, MA 01915-1053

Mailing address

109 Dodge St
Beverly, MA 01915-1053
Phone (978) 927-3966

National Provider Directory

National Provider Directory

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": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216771200000",
    "number": "1942347331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 DODGE ST",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019151053",
            "telephone_number": "978-927-3966",
            "fax_number": "978-921-9171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 DODGE ST",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019151053",
            "telephone_number": "978-927-3966",
            "fax_number": "978-921-9171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER M FRASCA D.M.D, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2008-07-23",
        "status": "A",
        "authorized_official_last_name": "FRASCA",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-927-3966",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "12972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.