Individual provider Active NPI

Daniel Randolph Appleton

  • Optometrist
  • Newburyport, MA
National Provider Identifier
1093773293
Registry record updated Nov 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2238 Issued in MA
Practice address
39 Green St
Newburyport, MA 01950-2652
Phone
(978) 465-8761
Fax
(978) 465-6228
NPI assigned
May 4, 2006
Sex
Male
Sole proprietor
No

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)
Enrolled

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2238 MA Primary

Addresses

NPPES NPI Registry

Primary practice location

39 Green St
Newburyport, MA 01950-2652

Mailing address

39 Green St
Newburyport, MA 01950-2652
Phone (978) 465-8761

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
0030497MedicaidMA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 10, 2008.

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226275200000",
    "number": "1093773293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 GREEN ST",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019502652",
            "telephone_number": "978-465-8761",
            "fax_number": "978-465-6228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 GREEN ST",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019502652",
            "telephone_number": "978-465-8761",
            "fax_number": "978-465-6228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "APPLETON",
        "first_name": "DANIEL",
        "middle_name": "RANDOLPH",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2008-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "2238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0030497",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburyport, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2008; 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.