Active NPI
Willilam J. Ayotte, D.M.D.
- General Practice Dentistry
- Marlborough, MA
National Provider Identifier
1124124524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 17289
- Practice address
- 331 Boston Post Rd E
Suite 11
Marlborough, MA 01752-3623 - Phone
- (508) 786-9687
- Fax
- (508) 786-9687
- NPI assigned
- Sep 15, 2006
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 17289 | MA | Primary |
Addresses
Primary practice location
331 Boston Post Rd E
Suite 11
Marlborough, MA 01752-3623
Mailing address
331 Boston Post Rd E
Suite 11
Marlborough, MA 01752-3623
Phone (508) 786-9687
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150630002265 | MA | Order and Referring Only - Oral Surgery | 8325350507 |
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": "1158278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124124524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "331 BOSTON POST RD E",
"address_2": "SUITE 11",
"city": "MARLBOROUGH",
"state": "MA",
"postal_code": "017523623",
"telephone_number": "508-786-9687",
"fax_number": "508-786-9687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "331 BOSTON POST RD E",
"address_2": "SUITE 11",
"city": "MARLBOROUGH",
"state": "MA",
"postal_code": "017523623",
"telephone_number": "508-786-9687",
"fax_number": "508-786-9687"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AYOTTE",
"first_name": "WILLILAM",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MA",
"license": "17289",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marlborough, 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.