1. Home
  2. Directory
  3. Massachusetts
  4. Canton
  5. Nurse Practitioner
  6. NPI Profile

DOVETAIL PAC
NPI 1124898440
Nurse Practitioner in Canton, MA

Active since January 08, 2024
345 NEPONSET ST STE 3, CANTON, MA 02021(781) 747-8926 Get Directions Write a Review

NPPES record last updated: January 8, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dovetail Pac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DOVETAIL PAC (NPI 1124898440) is a healthcare organization registered as a nurse practitioner in Canton, Massachusetts and active in the NPI registry since January 2024. The organization lists India Michel, Co-founder, as its authorized official.

NPPES Registry Identity

NPI1124898440
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameDOVETAIL PAC
Location Address345 NEPONSET ST STE 3Canton, MA 02021-1988
Mailing Address345 Neponset St Ste 3Canton, MA 02021-1988
Phone(781) 747-8926
Organization SubpartNo
Authorized OfficialIndia MichelCo-founder · (781) 747-8926
Enumeration DateJanuary 8, 2024
NPPES CertifiedJanuary 8, 2024
✔ NPI 1124898440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
345 NEPONSET ST STE 3, Canton, MA 02021
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dovetail Pac's NPI number?

The NPI number for Dovetail Pac is 1124898440. It was assigned to this organization in the NPPES registry on January 8, 2024.

Where is Dovetail Pac located?

Dovetail Pac is located at 345 Neponset St Ste 3, Canton, MA 02021. The listed phone number is (781) 747-8926.

What is Dovetail Pac's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Dovetail Pac was last updated on January 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.