Individual provider Active NPI

Willilam J. Ayotte, D.M.D.

  • General Practice Dentistry
  • Marlborough, MA
National Provider Identifier
1124124524
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
17289 Issued in MA
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

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
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150630002265 MA Order and Referring Only - Oral SurgeryPractitioner - 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

Verify at the official NPI Registry.