Individual provider Active NPI

Arthur Francis Eddy, D.M.D.

  • General Practice Dentistry
  • Shirley, MA
National Provider Identifier
1154448249
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
13539 Issued in MA
Practice address
228 Great Road
Shirley, MA 01464-2211
Phone
(978) 425-9088
Fax
(978) 425-4503
NPI assigned
Mar 23, 2007
Last updated
Jul 8, 2007By the provider in NPPES
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 13539 MA Primary

Addresses

Primary practice location

228 Great Road
Shirley, MA 01464-2211

Mailing address

228 Great Road
Shirley, MA 01464-2211
Phone (978) 425-9088

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
I20150922002472 MA Order and Referring Only - DentistPractitioner - Dentist 2264749332

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13539MAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Shirley Dental Care, Inc Past Accepting new patients
Arthur F Eddy DMD PC General Practice 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154448249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 GREAT ROAD",
            "city": "SHIRLEY",
            "state": "MA",
            "postal_code": "014642211",
            "telephone_number": "978-425-9088",
            "fax_number": "978-425-4503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 GREAT ROAD",
            "city": "SHIRLEY",
            "state": "MA",
            "postal_code": "014642211",
            "telephone_number": "978-425-9088",
            "fax_number": "978-425-4503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDDY",
        "first_name": "ARTHUR",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "13539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shirley, MA

Sources for this page

Verify at the official NPI Registry.