Alyssa A Emmons

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN1858657 Issued in MA

Practice address

258 Washington St
Wellesley, MA 02481-4964

Phone

(781) 237-7400

NPI assigned

Feb 8, 2019

Sex

Female

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 NY

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

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

{
    "created_epoch": "1549584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642982400000",
    "number": "1083179428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 WASHINGTON ST",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024814964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 WASHINGTON ST",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024814964",
            "telephone_number": "781-237-7400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "370 Main St",
            "address_purpose": "LOCATION",
            "city": "West Townsend",
            "state": "MA",
            "postal_code": "014741052",
            "country_code": "US",
            "telephone_number": "978-597-2100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EMMONS",
        "first_name": "ALYSSA",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-08",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1858657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Rae Eilam
• Omar Hammam El Abd, MD
• Shana Elga, M.D.
• Julie Elgas, MD
• Sandra Elman, PHARMD
• Peter Erhardt, PT
• Allison Collins Ertl, PSYD
• Mahnoosh Eslami, MD
• Jeanette A Estes
• Eugene D. Savitt, DMD

• General Practice Dentistry in Wellesley, MA
• Providers in Wellesley, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; 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.