Active NPI
L. David Gassiraro, DMD
- Prosthodontics
- West Roxbury, MA
National Provider Identifier
1114114980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 17779
- Practice address
- 725 VFW Pkwy
West Roxbury, MA 02132-1747 - Phone
- (617) 323-2796
- Fax
- (617) 323-3462
- NPI assigned
- Sep 26, 2007
- Last updated
- Sep 26, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 17779 | MA | Primary |
Addresses
Primary practice location
725 VFW Pkwy
West Roxbury, MA 02132-1747
Mailing address
725 V.F.W. Parkway
West Roxbury, MA 02132-1747
Phone (617) 323-2796
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 |
|---|---|---|---|
| 17779 | MA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190764800000",
"number": "1114114980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "725 V.F.W. PARKWAY",
"city": "WEST ROXBURY",
"state": "MA",
"postal_code": "021321747",
"telephone_number": "617-323-2796",
"fax_number": "617-323-3462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 VFW PKWY",
"city": "WEST ROXBURY",
"state": "MA",
"postal_code": "021321747",
"telephone_number": "617-323-2796",
"fax_number": "617-323-3462"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GASSIRARO",
"first_name": "L.",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-09-26",
"last_updated": "2007-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "MA",
"license": "17779",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Roxbury, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.