New England TMJ Associates

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

NEW ENGLAND TMJ ASSOCIATES

Practice address

376 Moody St
Waltham, MA 02453-5204

Phone

(617) 588-2129

NPI assigned

Jun 14, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Shuchi Dhadwal, DMD

Title

Owner

Phone

(857) 383-1140

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1560470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560902400000",
    "number": "1962062786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 NOBLE ST",
            "city": "WEST NEWTON",
            "state": "MA",
            "postal_code": "024651016",
            "telephone_number": "857-383-1140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "376 MOODY ST",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024535204",
            "telephone_number": "617-588-2129"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "119 Belmont St",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016052903",
            "country_code": "US",
            "telephone_number": "617-588-2129",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEW ENGLAND TMJ ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-14",
        "last_updated": "2019-06-19",
        "status": "A",
        "authorized_official_last_name": "DHADWAL",
        "authorized_official_first_name": "SHUCHI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "857-383-1140",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Waltham, MA
• Providers in Waltham, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.