Individual provider Active NPI

Susan A Ciampa-Albanese, DMD

  • General Practice Dentistry
  • Marlborough, MA
National Provider Identifier
1013004993
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
17151 Issued in MA
Practice address
65 Fremont St
Suite 2a
Marlborough, MA 01752-1271
Phone
(508) 460-8426
Fax
(508) 460-8977
NPI assigned
Oct 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 17151 MA Primary

Addresses

Primary practice location

65 Fremont St
Suite 2a
Marlborough, MA 01752-1271

Mailing address

65 Fremont St
Suite 2a
Marlborough, MA 01752-1271
Phone (508) 460-8426

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Previously, effective Aug 21, 2012 through Aug 21, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
17151MAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Marlboro Dental Care General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013004993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 FREMONT ST",
            "address_2": "SUITE 2A",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017521271",
            "telephone_number": "508-460-8426",
            "fax_number": "508-460-8977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 FREMONT ST",
            "address_2": "SUITE 2A",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017521271",
            "telephone_number": "508-460-8426",
            "fax_number": "508-460-8977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIAMPA-ALBANESE",
        "first_name": "SUSAN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "17151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlborough, MA

Sources for this page

Verify at the official NPI Registry.