TUFTS DENTAL FACILITY FERNALD
NPI 1871719104
Clinic/Center - Dental in Waltham, MA

NPI Status: Active since April 17, 2007

Contact Information

200 TRAPELO RD
WALTHAM, MA
ZIP 02452
Phone: (781) 899-6020
Fax: (781) 893-1829

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  • Organization
  • Clinic/Center
  • Dental

About TUFTS DENTAL FACILITY FERNALD

This page provides the complete NPI Profile along with additional information for Tufts Dental Facility Fernald, a provider established in Waltham, Massachusetts operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1871719104 assigned on April 2007. The practitioner's primary taxonomy code is 261QD0000X with license number 20040 (MA). The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's other name is Tufts Dental Facility Fernald. The authorized official of this NPI record is Dr. John Patrick Morgan Jr. (Administrative Director)

NPI
1871719104
Provider Legal Name
TRUSTEES OF TUFTS UNIVERSITY
Other Organization Name
TUFTS DENTAL FACILITY FERNALD
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
200 TRAPELO RD WALTHAM, MA 02452
Location Phone
(781) 899-6020
Location Fax
(781) 893-1829
Mailing Address
TUFTS DENTAL FACILITY FERNALD 200 TRAPELO ROAD WALTHAM, MA 02452
Mailing Phone
(781) 899-6020
Mailing Fax
(781) 893-1829
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-17-2007
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Dental

Taxonomy Code
261QD0000X
Type
Ambulatory Health Care Facilities
License No.
20040
License State
MA

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. JOHN PATRICK MORGAN JR.

Authorized Official Title
ADMINISTRATIVE DIRECTOR
Authorized Official Phone
(781) 899-6020

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0272175OTHER (01)MAMASSHEALTH PROVIDER NUMBE

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1871719104
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
281411411810
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 1 + 4 + 1 + 1 + 4 + 1 + 1 + 8 + 1 + 0 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1871719104 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1821136771MS. MILLICENT ROTHMAN RN, BC, NP
Individual
Nurse Practitioner (Gerontology)200 TRAPELO RD LIBERTY HEALTHCARE, FERNALD CENTER
WALTHAM, MA 02452
(781) 894-3600
1982872651MRS. PRISCILLA I NWACHUKWU NP
Individual
Nurse Practitioner (Adult Health)200 TRAPELO RD
WALTHAM, MA 02452
(781) 894-3600
1295959849TRUSTEES OF TUFTS UNIVERSITY
Organization
Clinic/Center (Dental)200 TRAPELO RD
WALTHAM, MA 02452
(508) 384-8987

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1871719104, enumerated in the NPI registry as an "organization" on April 17, 2007

The provider is located at 200 Trapelo Rd Waltham, Ma 02452 and the phone number is (781) 899-6020

This medical organization specializes in Clinic/Center with taxonomy code 261QD0000X with a focus in Dental

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on April 17, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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