Organization Active NPI

Orthodontic Centers of Ma. Inc.

  • Dentist
  • Dartmouth, MA
National Provider Identifier
1962629352
Registry record updated May 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12597 Issued in MA
Legal business name
ORTHODONTIC CENTERS OF MA. INC.
Practice address
408 State Rd
Route 6 Suite 730
Dartmouth, MA 02747-4302
Phone
(508) 990-3000
Fax
(508) 990-3080
NPI assigned
Apr 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2009

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

Authorized official

Name
Dr. Richard Alexander, M.D.
Title
Doctor
Phone
(508) 990-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 12597 MA Primary

Addresses

Primary practice location

408 State Rd
Route 6 Suite 730
Dartmouth, MA 02747-4302

Mailing address

408 State Rd
Route 6 Suite 730
Dartmouth, MA 02747-4302
Phone (508) 990-3000

Other identifiers 2

IdentifierTypeStateIssuer
0203777MedicaidMA
RA48576MedicaidRI

National Provider Directory

National Provider Directory
Tax ID family
Orthodontic Centers of Ma Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242259200000",
    "number": "1962629352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 STATE RD",
            "address_2": "ROUTE 6 SUITE 730",
            "city": "DARTMOUTH",
            "state": "MA",
            "postal_code": "027474302",
            "telephone_number": "508-990-3000",
            "fax_number": "508-990-3080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 STATE RD",
            "address_2": "ROUTE 6 SUITE 730",
            "city": "DARTMOUTH",
            "state": "MA",
            "postal_code": "027474302",
            "telephone_number": "508-990-3000",
            "fax_number": "508-990-3080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHODONTIC CENTERS OF MA. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2009-05-14",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "508-990-3000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MA",
            "license": "12597",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0203777",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RA48576",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dartmouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2009; 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.