Organization Active NPI

Garrett K Piskor, DMD PC

  • Dental Laboratory Technician
  • Lexington, MA
National Provider Identifier
1962414748
Registry record updated Jan 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Laboratory TechnicianTaxonomy code 126900000X
License
15316 Issued in MA
Legal business name
GARRETT K PISKOR, DMD PC
Practice address
57 Bedford St
Suite 208
Lexington, MA 02420-4500
Phone
(781) 862-1900
Fax
(781) 862-1817
NPI assigned
Aug 12, 2006
Last updated
Jan 14, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2013

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

Authorized official

Name
Dr. Garrett K Piskor, DMDNPI 1932393840
Title
Owner
Phone
(617) 547-4958

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Laboratory Technician 126900000X 15316 MA Primary
Dental Laboratory Technician 126900000X 12217 MA

Addresses

Primary practice location

57 Bedford St
Suite 208
Lexington, MA 02420-4500

Mailing address

57 Bedford St
Suite 208
Lexington, MA 02420-4500
Phone (781) 862-1900

National Provider Directory

National Provider Directory

Locations

57 Bedford St
Ste 208
Lexington, MA 02420
Phone (781) 862-1900

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": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358121600000",
    "number": "1962414748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 BEDFORD ST",
            "address_2": "SUITE 208",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024204500",
            "telephone_number": "781-862-1900",
            "fax_number": "781-862-1817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 BEDFORD ST",
            "address_2": "SUITE 208",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024204500",
            "telephone_number": "781-862-1900",
            "fax_number": "781-862-1817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARRETT K PISKOR, DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2013-01-14",
        "status": "A",
        "authorized_official_last_name": "PISKOR",
        "authorized_official_first_name": "GARRETT",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-547-4958",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "126900000X",
            "taxonomy_group": "",
            "desc": "Dental Laboratory Technician",
            "state": "MA",
            "license": "15316",
            "primary": true
        },
        {
            "code": "126900000X",
            "taxonomy_group": "",
            "desc": "Dental Laboratory Technician",
            "state": "MA",
            "license": "12217",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2013; 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.