Nine West Main Dental, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

NINE WEST MAIN DENTAL, LLC

Practice address

9 W Main St
West Brookfield, MA 01585-2823

Phone

(508) 589-8270

NPI assigned

Jan 29, 2018

Organization subpart

No

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

Authorized official

Name

Aimee Hodgerney

Title

Operationns Manager

Phone

(508) 589-8270

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1517184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517184000000",
    "number": "1962900639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 W MAIN ST",
            "city": "WEST BROOKFIELD",
            "state": "MA",
            "postal_code": "015852823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 W MAIN ST",
            "city": "WEST BROOKFIELD",
            "state": "MA",
            "postal_code": "015852823",
            "telephone_number": "508-589-8270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NINE WEST MAIN DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-29",
        "last_updated": "2018-01-29",
        "status": "A",
        "authorized_official_last_name": "HODGERNEY",
        "authorized_official_first_name": "AIMEE",
        "authorized_official_title_or_position": "OPERATIONNS MANAGER",
        "authorized_official_telephone_number": "508-589-8270"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabrielle McKenna, M.S., CCC-SLP
• Gretchen Lee Mollins, RD
• Allison Corrigan Muirhead, LICSW
• Susan Marie Nelson, RD, LDN
• Ryley Newcomb, DPT
• Christelle Nzouda
• Heather Obrien, COTA/L
• Quaside, Inc
• Ana Salinas, CCC-SLP
• Gail Sandman, OTR

• General Practice Dentistry in West Brookfield, MA
• Providers in West Brookfield, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2018; 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.