Active NPI
Donna Louise Calsimitto, DMD
- General Practice Dentistry
- East Boston, MA
National Provider Identifier
1083721112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 13154
- Practice address
- 123 London St
East Boston, MA 02128 - Phone
- (617) 568-9077
- Fax
- (617) 568-9077
- NPI assigned
- Aug 24, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 13154 | MA | Primary |
Addresses
Primary practice location
123 London St
East Boston, MA 02128
Mailing address
123 London St
East Boston, MA 02128
Phone (617) 567-3537
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0247332 | Other | MA | MASS HEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13154 | MA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083721112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 LONDON ST",
"city": "EAST BOSTON",
"state": "MA",
"postal_code": "02128",
"telephone_number": "617-567-3537",
"fax_number": "617-568-9077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 LONDON ST",
"city": "EAST BOSTON",
"state": "MA",
"postal_code": "02128",
"telephone_number": "617-568-9077",
"fax_number": "617-568-9077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALSIMITTO",
"first_name": "DONNA",
"middle_name": "LOUISE",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MA",
"license": "13154",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASS HEALTH",
"identifier": "0247332",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in East Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.