NPIMap

Organization Active NPI

Haverhill Dental Inc.

  • General Practice Dentistry
  • Haverhill, MA
National Provider Identifier
1982052726
Registry record updated Jun 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN1855283 Issued in MA
Legal business name
HAVERHILL DENTAL INC.
Practice address
696 Main St
Haverhill, MA 01830-2642
Phone
(978) 875-5171
NPI assigned
Jun 2, 2016
Last updated
Jun 2, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2016

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

Authorized official

Name
Thanh Pham
Title
Owner
Phone
(978) 875-5171

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN1855283 MA Primary

Addresses

Primary practice location

696 Main St
Haverhill, MA 01830-2642

Mailing address

696 Main St
Haverhill, MA 01830-2642
Phone (978) 875-5171

National Provider Directory

National Provider Directory

Locations

696 Main St
Haverhill, MA 01830
Phone (978) 373-9669

NPI Registry JSON

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

{
    "created_epoch": "1464825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464825600000",
    "number": "1982052726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "696 MAIN ST",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018302642",
            "telephone_number": "978-875-5171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "696 MAIN ST",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018302642",
            "telephone_number": "978-875-5171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVERHILL DENTAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-02",
        "last_updated": "2016-06-02",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "THANH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-875-5171"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1855283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haverhill, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.