Individual provider Active NPI

Dara Paula Deflorio, DMD

  • General Practice Dentistry
  • Springfield, MA
National Provider Identifier
1093060279
Registry record updated Jul 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN17728 Issued in MA
Practice address
200 Birnie Avenue
Springfield, MA 01107-1102
Phone
(860) 763-6187
NPI assigned
Jul 13, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN17728 MA Primary

Addresses

Primary practice location

200 Birnie Avenue
Springfield, MA 01107-1102

Mailing address

391 Shaker Road
Dental Room
Enfield, CT 06092
Phone (860) 763-6187

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

LicenseStateTypeSpecialty
DN17728MAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1342137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342137600000",
    "number": "1093060279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "391 SHAKER ROAD",
            "address_2": "DENTAL ROOM",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "06092",
            "telephone_number": "860-763-6187",
            "fax_number": "860-763-6187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BIRNIE AVENUE",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071102",
            "telephone_number": "860-763-6187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFLORIO",
        "first_name": "DARA",
        "middle_name": "PAULA",
        "name_prefix": "Ms.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-13",
        "last_updated": "2012-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN17728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.