Organization Active NPI

Cambridge Dental Clinic PC

  • Dentist
  • Cambridge, MA
National Provider Identifier
1952408551
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
19532 Issued in MA
Legal business name
CAMBRIDGE DENTAL CLINIC PC
Practice address
575 Mt Auburn St
Suite B104
Cambridge, MA 02138-4627
Phone
(617) 441-6252
Fax
(617) 441-6252
NPI assigned
Sep 19, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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. Jingseng Xie, DMD
Title
President
Phone
(617) 441-6252

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 19532 MA Primary

Addresses

Primary practice location

575 Mt Auburn St
Suite B104
Cambridge, MA 02138-4627

Mailing address

575 Mt Auburn St
Suite B104
Cambridge, MA 02138-4627
Phone (617) 441-6252

National Provider Directory

National Provider Directory

Locations

575 Mount Auburn St
Ste B104
Cambridge, MA 02138
Phone (617) 441-6252

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952408551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 MT AUBURN ST",
            "address_2": "SUITE B104",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021384627",
            "telephone_number": "617-441-6252",
            "fax_number": "617-441-6252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 MT AUBURN ST",
            "address_2": "SUITE B104",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021384627",
            "telephone_number": "617-441-6252",
            "fax_number": "617-441-6252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMBRIDGE DENTAL CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "XIE",
        "authorized_official_first_name": "JINGSENG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-441-6252",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "19532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, 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.