Hans Ivan Orup Jr., DMD, MMSC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

18351 Issued in MA

Practice address

290 Baker Ave
Ste S204
Concord, MA 01742-2130

Phone

(978) 369-3690

NPI assigned

Feb 21, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1613865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613865600000",
    "number": "1962096933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 NEWBRIDGE RD",
            "city": "SUDBURY",
            "state": "MA",
            "postal_code": "017761831",
            "telephone_number": "978-764-5806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 BAKER AVE",
            "address_2": "STE S204",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017422130",
            "telephone_number": "978-369-3690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORUP",
        "first_name": "HANS",
        "middle_name": "IVAN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DMD, MMSC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-21",
        "last_updated": "2021-02-21",
        "certification_date": "2021-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MA",
            "license": "18351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Orthodontics and Dentofacial Orthopedics Dentistry in Concord, MA
• Providers in Concord, MA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2021; 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.