Western Mass Periodontics & Implant Specialists PC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

WESTERN MASS PERIODONTICS & IMPLANT SPECIALISTS PC

Practice address

435 South St Ste 1
Pittsfield, MA 01201-8214

Phone

(413) 445-4592

NPI assigned

Dec 9, 2024

Organization subpart

No

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

Authorized official

Name

Christine Branigan

Title

Credentialing Manager

Phone

(631) 696-0100

Specialties & licenses 1

Addresses

Tax ID family

Western Mass Periodontics Implant Specialists PC2 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.

• Western Mass Periodontics & Implant Specialists PC

  • Periodontics
  • Great Barrington, MA
  • NPI 1144036567
  NPD tax ID

Locations

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

{
    "created_epoch": "1733702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733702400000",
    "number": "1972319481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 SOUTH ST STE 1",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012018214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 SOUTH ST STE 1",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012018214",
            "telephone_number": "413-445-4592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN MASS PERIODONTICS & IMPLANT SPECIALISTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-09",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A",
        "authorized_official_last_name": "BRANIGAN",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "631-696-0100"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina Wendling
• Wendy Zunitch LLC
• Robert Joseph Wenger Jr., D.O.
• Douglas Wentworth
• Gloria Jean Wesley
• Western Mass. Physical Therapy, P.C.
• Western Massachusetts Pathology Services, PC
• Jillian Rose Whalen, OTR/L
• Andrea Wheat, DPT
• Sheila Collins Wheeler

• Periodontics in Pittsfield, MA
• Providers in Pittsfield, MA by specialty
• Periodontics in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; 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.