OrganizationActive
Mystic Valley Orthodontics
NPI 1679744668 · Orthodontics and Dentofacial Orthopedics Dentistry · Medford, MA
Provider details
- NPI number
- 1679744668
- Entity type
- Organization
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Joy Kasparian-Federico, Na(781) 396-9230
- License
- 19234 (MA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
80 High St
Suite 2
Medford, MA 02155-3872
Phone: (781) 396-9230
Fax: (781) 391-6090
Street-level locationGet directions
Mailing address
80 High St
Medford, MA 02155-3872
Registry dates
- Enumerated
- 2008-03-18
- Last updated
- 2008-03-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.