Organization Active NPI

Douglas a Shealy DDS PC

Doing business as Rowley Family Dental Center

  • General Practice Dentistry
  • Rowley, MA
National Provider Identifier
1982616769
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
15182 Issued in MA
Legal business name
DOUGLAS A SHEALY DDS PC
Doing business as
Rowley Family Dental Center
Practice address
434 Haverhill St
Rowley, MA 01969-1914
Phone
(978) 948-2333
Fax
(978) 948-3752
NPI assigned
Aug 12, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Douglas Alan Shealy, DDSNPI 1073719506
Title
President
Phone
(978) 948-2333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 15182 MA Primary

Addresses

Primary practice location

434 Haverhill St
Rowley, MA 01969-1914

Mailing address

434 Haverhill St
Rowley, MA 01969-1914
Phone (978) 948-2333

Other names 1

  • Rowley Family Dental Center Doing business as

National Provider Directory

National Provider Directory

Locations

434 Haverhill St
Rowley, MA 01969
Phone (978) 948-2333

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982616769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "434 HAVERHILL ST",
            "city": "ROWLEY",
            "state": "MA",
            "postal_code": "019691914",
            "telephone_number": "978-948-2333",
            "fax_number": "978-948-3752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "434 HAVERHILL ST",
            "city": "ROWLEY",
            "state": "MA",
            "postal_code": "019691914",
            "telephone_number": "978-948-2333",
            "fax_number": "978-948-3752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS A SHEALY DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHEALY",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-948-2333",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "15182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rowley Family Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rowley, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.