Individual provider Active NPI

Judy D McIntyre, D.M.D.,M.S.

  • Endodontics
  • Franklin, MA
National Provider Identifier
1124193214
Registry record updated Aug 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
21942 Issued in MA
Practice address
7 Mine Brook Court
Franklin, MA 02038-2391
Phone
(508) 440-5626
NPI assigned
Nov 22, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 7786 NC
Endodontics 1223E0200X 21942 MA Primary

Addresses

Primary practice location

7 Mine Brook Court
Franklin, MA 02038-2391

Mailing address

7 Mine Brook Court
Franklin, MA 02038-2391
Phone (508) 440-5626

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
I20150605000591 MA Order and Referring Only - DentistPractitioner - Dentist 9638490469

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
21942MAMDEndodontist
7786NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
McIntyre Endodontics, LLC Endodontics Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472515200000",
    "number": "1124193214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 MINE BROOK COURT",
            "city": "FRANKLIN",
            "state": "MA",
            "postal_code": "020382391",
            "telephone_number": "508-440-5626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 MINE BROOK COURT",
            "city": "FRANKLIN",
            "state": "MA",
            "postal_code": "020382391",
            "telephone_number": "508-440-5626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTYRE",
        "first_name": "JUDY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.M.D.,M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-22",
        "last_updated": "2016-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NC",
            "license": "7786",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "MA",
            "license": "21942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, MA

Sources for this page

Verify at the official NPI Registry.