Individual provider Active NPI

James John Ostromecky, DDS

  • Dentist
  • Spencer, MA
National Provider Identifier
1063497907
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
17730 Issued in MA
Practice address
48 Pleasant St
Spencer, MA 01562-1626
Phone
(508) 885-6366
Fax
(508) 885-2380
NPI assigned
Dec 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 17730 MA Primary

Addresses

Primary practice location

48 Pleasant St
Spencer, MA 01562-1626

Mailing address

48 Pleasant St
Spencer, MA 01562
Phone (508) 885-6366

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
I20160415001617 MA Order and Referring Only - DentistPractitioner - Dentist 2961700414

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17730MAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1063497907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 PLEASANT ST",
            "city": "SPENCER",
            "state": "MA",
            "postal_code": "01562",
            "telephone_number": "508-885-6366",
            "fax_number": "508-885-2380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 PLEASANT ST",
            "city": "SPENCER",
            "state": "MA",
            "postal_code": "015621626",
            "telephone_number": "508-885-6366",
            "fax_number": "508-885-2380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSTROMECKY",
        "first_name": "JAMES",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-14",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "17730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spencer, MA

Sources for this page

Verify at the official NPI Registry.