Organization Active NPI

Hyannis Dental Group Professional

  • Dental Clinic/Center
  • Hyannis, MA
National Provider Identifier
1962990820
Registry record updated Apr 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
HYANNIS DENTAL GROUP PROFESSIONAL
Practice address
17 School St
Hyannis, MA 02601-3117
Phone
(774) 470-2876
Fax
(774) 470-6191
NPI assigned
Apr 26, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2018

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

Authorized official

Name
Janet Neff
Title
Office Manager
Phone
(774) 470-2876

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

17 School St
Hyannis, MA 02601-3117

Mailing address

17 School St
Hyannis, MA 02601-3117
Phone (774) 470-2876

Other identifiers 1

IdentifierTypeStateIssuer
110008422AMedicaidMA

National Provider Directory

National Provider Directory

Locations

17 School St
Hyannis, MA 02601
Phone (508) 775-3739

NPI Registry JSON

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

{
    "created_epoch": "1524700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524700800000",
    "number": "1962990820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 SCHOOL ST",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026013117",
            "telephone_number": "774-470-2876",
            "fax_number": "774-470-6191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 SCHOOL ST",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026013117",
            "telephone_number": "774-470-2876",
            "fax_number": "774-470-6191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYANNIS DENTAL GROUP PROFESSIONAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-26",
        "last_updated": "2018-04-26",
        "status": "A",
        "authorized_official_last_name": "NEFF",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "774-470-2876"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110008422A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyannis, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.