NPIMap

Individual provider Active NPI

Ronnie Du, DMD

  • General Practice Dentistry
  • Sudbury, MA
National Provider Identifier
1154470235
Registry record updated Oct 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
20021 Issued in MA
Practice address
323 Boston Post Road
Sudbury, MA 01776
Phone
(978) 443-0801
Fax
(978) 443-7100
NPI assigned
Jan 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2012

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 20021 MA Primary

Addresses

Primary practice location

323 Boston Post Road
Sudbury, MA 01776

Mailing address

323 Boston Post Road
Sudbury, MA 01776
Phone (978) 443-0801

Other names 1

  • Rong Qing Du Former name

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

LicenseStateTypeSpecialty
20021MAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Ronnie Du DMD & Associates PC General Practice 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": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351123200000",
    "number": "1154470235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 BOSTON POST ROAD",
            "city": "SUDBURY",
            "state": "MA",
            "postal_code": "01776",
            "telephone_number": "978-443-0801",
            "fax_number": "978-443-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 BOSTON POST ROAD",
            "city": "SUDBURY",
            "state": "MA",
            "postal_code": "01776",
            "telephone_number": "978-443-0801",
            "fax_number": "978-443-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DU",
        "first_name": "RONNIE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2012-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "20021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RONG QING",
            "last_name": "DU",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sudbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.