Individual provider Active NPI

Aurora D. S. Fields, D.D.S.

  • Dentist
  • Northampton, MA
National Provider Identifier
1013267293
Registry record updated Nov 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN1855981 Issued in MA
Practice address
15 Atwood Dr Ste 203
Northampton, MA 01060-4276
Phone
(413) 387-4585
Fax
(413) 387-4586
NPI assigned
Sep 14, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN1855981 MA Primary

Addresses

Primary practice location

15 Atwood Dr Ste 203
Northampton, MA 01060-4276

Mailing address

15 Atwood Dr Ste 203
Northampton, MA 01060-4276
Phone (413) 387-4585

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150722004754 MA Order and Referring Only - DentistPractitioner - Dentist 9739492588

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN1855981MAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Refresh Valley Dental, PLLC Dentist CurrentSince Dec 6, 2022 Accepting new patients
Wegrzyn Dental Group Inc Past Accepting new patients

Locations

15 Atwood Dr
Ste 203
Northampton, MA 01060
Phone (413) 387-4585

Organizations & group practices 2

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": "1347580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1013267293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 ATWOOD DR STE 203",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010604276",
            "telephone_number": "413-387-4585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 ATWOOD DR STE 203",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010604276",
            "telephone_number": "413-387-4585",
            "fax_number": "413-387-4586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIELDS",
        "first_name": "AURORA",
        "middle_name": "D. S.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-14",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1855981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northampton, MA

Sources for this page

Verify at the official NPI Registry.