Active NPI
David J Ahearn, DDS
- Dentist
- Westport, MA
National Provider Identifier
1124162144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 16036
- Practice address
- 302 Village Way
Westport, MA 02790-0702 - Phone
- (508) 636-6566
- Fax
- (508) 636-6587
- NPI assigned
- Feb 16, 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 16036 | MA | Primary |
Addresses
Primary practice location
302 Village Way
Westport, MA 02790-0702
Mailing address
302 Village Way
P O Box 3629
Westport, MA 02790
Phone (508) 636-6566
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| X11461 | Other | MA | BLUE CROSS PROVIDER |
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 |
|---|---|---|---|
| 16036 | MA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David J Ahearn DDS,PC | Past | Accepting new patients | |
| Perfect Smiles Dentistry and Wellness, PLLC | Dentist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Westport, MA
- NPI 1093049439
-
- Dentist
- Seekonk, MA
- NPI 1619844354
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124162144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302 VILLAGE WAY",
"address_2": "P O BOX 3629",
"city": "WESTPORT",
"state": "MA",
"postal_code": "02790",
"telephone_number": "508-636-6566",
"fax_number": "508-636-6587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 VILLAGE WAY",
"city": "WESTPORT",
"state": "MA",
"postal_code": "027900702",
"telephone_number": "508-636-6566",
"fax_number": "508-636-6587"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHEARN",
"first_name": "DAVID",
"middle_name": "J",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "16036",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS PROVIDER",
"identifier": "X11461",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Westport, 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.