Practices and organizations, Pediatric dentistry and orthodontics (by name)
NPI
1831534379
NPI status
Active in the NPPES registry
Provider type
Organization (practice, clinic or company)
Registered specialty (self-reported taxonomy)
Pediatric Dentistry (1223P0221X)
License number on NPI record
20954 (MA)
Authorized official
Jason Gould, Owner
NPI first issued
May 9, 2013
Years since NPI first issued
13 years (since 2013)
License state on NPI record
MA
NPI record last updated
May 9, 2013
Pediatric dentistry listings at this street address
2 (this one included)
Individual pediatric dentists listed at this address
1
NPI 1831534379 is active in the federal NPPES registry (CMS) with Pediatric Dentistry, an ADA-recognized dental specialty, as its self-reported primary taxonomy; license 20954 (MA) is listed on the record. Source: NPPES NPI Registry (CMS) (record). Data as of 2026-10-16.
Public record, not an endorsement. This listing was compiled from public records as of 2026-10-16 and may be incomplete or out of date. Pediatric Dentist Index does not vet, employ, recommend or guarantee pediatric dental practices; a badge reflects only what the public record showed on that date. Confirm current details with the official record before you decide. The information on Pediatric Dentist Index is not medical advice and does not replace a doctor, nurse, discharge planner or other qualified professional. Do not use it to make decisions about diagnosis or treatment. If you have a medical emergency, call 911. Full disclaimer · Report an error
What these registry facts mean
The NPI (National Provider Identifier) is the federal ID every HIPAA-covered provider uses to bill insurance. This NPI belongs to an organization, so it may cover several clinicians at this location. The specialty is the taxonomy the provider chose when registering; NPPES does not check it. A license number here is what the provider entered — confirm it with the state board before you rely on it. Pediatric dentists are dentists who completed an accredited pediatric dentistry residency after dental school. A registered specialty is not board certification. Verify the dental license with the state dental board and board certification with the American Board of Pediatric Dentistry.
Other listings in this directory whose NPI record gives the same street address and ZIP. A shared address usually means a shared practice or building; it does not by itself show who works with whom.
Registered specialty is not board certification. Verify the license with the state dental board and board certification with the American Board of Pediatric Dentistry. Ask which insurance and Medicaid/CHIP plans the practice accepts.