Organization Active NPI

Rockn Kids Dental

  • Preferred Provider Organization
  • Watertown, MA
National Provider Identifier
1992131528
Registry record updated Sep 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
DN21077 Issued in MA
Legal business name
ROCKN KIDS DENTAL
Practice address
51 Galen St
Watertown, MA 02472-4503
Phone
(617) 308-5361
NPI assigned
Sep 14, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2013

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

Authorized official

Name
Diane Aiguier
Title
Director
Phone
(617) 308-5361

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X DN21077 MA Primary

Addresses

Primary practice location

51 Galen St
Watertown, MA 02472-4503

Mailing address

51 Galen St
Watertown, MA 02472-4503
Phone (617) 308-5361

National Provider Directory

National Provider Directory

Locations

51 Galen St
Watertown, MA 02472
Phone (617) 308-5361

NPI Registry JSON

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

{
    "created_epoch": "1379116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379116800000",
    "number": "1992131528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 GALEN ST",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024724503",
            "telephone_number": "617-308-5361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 GALEN ST",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024724503",
            "telephone_number": "617-308-5361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKN KIDS DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-14",
        "last_updated": "2013-09-14",
        "status": "A",
        "authorized_official_last_name": "AIGUIER",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "617-308-5361"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "MA",
            "license": "DN21077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2013; 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.