NPIMap

Organization Active NPI

Epic Family Dentistry PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Norwood, MA
National Provider Identifier
1942858063
Registry record updated Sep 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
EPIC FAMILY DENTISTRY PLLC
Practice address
315 Norwood Park S Ste 100
Norwood, MA 02062-4681
Phone
(781) 349-4750
NPI assigned
Sep 2, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2019

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

Authorized official

Name
Dr. Jasun Mahaffey, DMD
Title
Owner
Phone
(617) 957-8352

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

315 Norwood Park S Ste 100
Norwood, MA 02062-4681

Mailing address

315 Norwood Park S Ste 100
Norwood, MA 02062-4681
Phone (781) 349-4750

National Provider Directory

National Provider Directory

Locations

315 Norwood Park S
Ste 100
Norwood, MA 02062
Phone (781) 349-4750

NPI Registry JSON

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

{
    "created_epoch": "1567382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567382400000",
    "number": "1942858063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 NORWOOD PARK S STE 100",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020624681",
            "telephone_number": "781-349-4750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 NORWOOD PARK S STE 100",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020624681",
            "telephone_number": "781-349-4750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPIC FAMILY DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-02",
        "last_updated": "2019-09-02",
        "status": "A",
        "authorized_official_last_name": "MAHAFFEY",
        "authorized_official_first_name": "JASUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-957-8352",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwood, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2019; 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.