Organization Active NPI

Wellesley Dental Arts LLC

  • Dentist
  • Wellesley, MA
National Provider Identifier
1982004677
Registry record updated Oct 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
MA20980 Issued in MA
Legal business name
WELLESLEY DENTAL ARTS LLC
Practice address
277 Linden St
Suite 209
Wellesley, MA 02482-5900
Phone
(781) 235-1747
NPI assigned
Aug 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2016

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

Authorized official

Name
Dr. Richard Miller, DMD
Title
President
Phone
(781) 235-1747

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X MA20980 MA Primary

Addresses

Primary practice location

277 Linden St
Suite 209
Wellesley, MA 02482-5900

Mailing address

277 Linden St
Suite 209
Wellesley, MA 02482-5900
Phone (781) 235-1747

National Provider Directory

National Provider Directory
Tax ID family
Wellesley Dental Arts LLC2 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.

Locations

277 Linden St
Ste 209
Wellesley, MA 02482
Phone (781) 235-1747

Practitioners & affiliated clinicians

Practitioners 1

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": "1409270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475625600000",
    "number": "1982004677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "277 LINDEN ST",
            "address_2": "SUITE 209",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024825900",
            "telephone_number": "781-235-1747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 LINDEN ST",
            "address_2": "SUITE 209",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024825900",
            "telephone_number": "781-235-1747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLESLEY DENTAL ARTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-29",
        "last_updated": "2016-10-05",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-235-1747",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MA",
            "license": "MA20980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellesley, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2016; 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.