Organization Active NPI

Central Square Dental PC

  • Dental Clinic/Center
  • Cambridge, MA
National Provider Identifier
1962996025
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
CENTRAL SQUARE DENTAL PC
Practice address
14 Pleasant St
Cambridge, MA 02139-3212
Phone
(617) 876-7900
NPI assigned
Jun 21, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Ashlee Brewster
Title
Operation Manager
Phone
(617) 876-7900

Specialties & licenses 1

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

Addresses

Primary practice location

14 Pleasant St
Cambridge, MA 02139-3212

Mailing address

14 Pleasant St
Cambridge, MA 02139-3212
Phone (617) 876-7900

National Provider Directory

National Provider Directory

Locations

14 Pleasant St
Cambridge, MA 02139
Phone (617) 868-7110

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1529539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1962996025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 PLEASANT ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021393212",
            "telephone_number": "617-876-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 PLEASANT ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021393212",
            "telephone_number": "617-876-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL SQUARE DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-21",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "BREWSTER",
        "authorized_official_first_name": "ASHLEE",
        "authorized_official_title_or_position": "OPERATION MANAGER",
        "authorized_official_telephone_number": "617-876-7900"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

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