Individual provider Active NPI

Dawn Andrea Ansello, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Beverly, MA
National Provider Identifier
1104956705
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
20465 Issued in MA
Practice address
550 Cabot St
Beverly, MA 01915-2511
Phone
(978) 927-7250
Fax
(978) 927-7441
NPI assigned
Mar 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 20465 MA Primary

Addresses

Primary practice location

550 Cabot St
Beverly, MA 01915-2511

Mailing address

550 Cabot St
Beverly, MA 01915-2511
Phone (978) 927-7250

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

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104956705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 CABOT ST",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019152511",
            "telephone_number": "978-927-7250",
            "fax_number": "978-927-7441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 CABOT ST",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019152511",
            "telephone_number": "978-927-7250",
            "fax_number": "978-927-7441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANSELLO",
        "first_name": "DAWN",
        "middle_name": "ANDREA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MA",
            "license": "20465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly, 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.

Verify at the official NPI Registry.