NPIMap

Organization Active NPI

Orchard Family Dental LLC

  • General Practice Dentistry
  • Indian Orchard, MA
National Provider Identifier
1992871115
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ORCHARD FAMILY DENTAL LLC
Practice address
439 Main St
Suite a
Indian Orchard, MA 01151-1238
Phone
(413) 543-1202
Fax
(413) 543-4751
NPI assigned
Nov 28, 2006
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
Dr. Samer M Tahoun, DMDNPI 1235343971
Title
Owner
Phone
(413) 543-1202

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 DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

439 Main St
Suite a
Indian Orchard, MA 01151-1238

Mailing address

439 Main Street
Suite a
Indian Orchard, MA 01151
Phone (413) 543-1202

National Provider Directory

National Provider Directory

Locations

439 Main St
Ste A
Springfield, MA 01151
Phone (413) 543-1202

Practitioners & affiliated clinicians

Practitioners 3

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": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992871115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "439 MAIN STREET",
            "address_2": "SUITE A",
            "city": "INDIAN ORCHARD",
            "state": "MA",
            "postal_code": "01151",
            "telephone_number": "413-543-1202",
            "fax_number": "413-543-4751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "439 MAIN ST",
            "address_2": "SUITE A",
            "city": "INDIAN ORCHARD",
            "state": "MA",
            "postal_code": "011511238",
            "telephone_number": "413-543-1202",
            "fax_number": "413-543-4751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORCHARD FAMILY DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TAHOUN",
        "authorized_official_first_name": "SAMER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "413-543-1202",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indian Orchard, 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.