Max M Enkin, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN1856952 Issued in MA

Practice address

1 Essex Ave
Gloucester, MA 01930-4927

Phone

(978) 283-9020

Fax

(978) 283-6251

NPI assigned

Jul 8, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Enkin Family Dental PLLC

  • Dental Clinic/Center
  • Gloucester, MA
  • NPI 1285250860
  NPD Authorized official

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

{
    "created_epoch": "1436313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628553600000",
    "number": "1063895001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ESSEX AVE",
            "city": "GLOUCESTER",
            "state": "MA",
            "postal_code": "019304927",
            "telephone_number": "978-283-9020",
            "fax_number": "978-283-6251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ESSEX AVE",
            "city": "GLOUCESTER",
            "state": "MA",
            "postal_code": "019304927",
            "telephone_number": "978-283-9020",
            "fax_number": "978-283-6251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENKIN",
        "first_name": "MAX",
        "middle_name": "M",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-08",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1856952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William C Edgerton, D.P.M.
• Dennis Jay Eigen, LMHC, LADC
• Jennifer Eliot
• Anne Elton, LCSW
• Enkin Family Dental PLLC
• Enlighten Therapeutics PLLC
• Jane Louise Erb, MD
• Amy Bonner Esdale, MD
• Essex Optical Corporation (Parrelli Optical)
• Sean Fagan

• Dentist in Gloucester, MA
• Providers in Gloucester, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.