Paul Edward Tesone, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

11620 Issued in MA

Practice address

563 Broadway
#4
Everett, MA 02149

Phone

(617) 389-4950

Fax

(617) 389-8604

NPI assigned

Jan 24, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Paul E Tesone DDS Inc

  • Oral and Maxillofacial Surgery (Dentist)
  • Everett, MA
  • NPI 1770787442
  NPD (past) Authorized official

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461283200000",
    "number": "1184779977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "563 BROADWAY",
            "address_2": "STE 4",
            "city": "EVERETT",
            "state": "MA",
            "postal_code": "021493749",
            "telephone_number": "617-389-4950",
            "fax_number": "617-389-8604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "563 BROADWAY",
            "address_2": "#4",
            "city": "EVERETT",
            "state": "MA",
            "postal_code": "02149",
            "telephone_number": "617-389-4950",
            "fax_number": "617-389-8604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TESONE",
        "first_name": "PAUL",
        "middle_name": "EDWARD",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2016-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MA",
            "license": "11620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0280011",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSMA#1",
            "identifier": "X11108",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSMA#2",
            "identifier": "X11109",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0230111",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monica Syngal
• Ralph E Talbot
• Amy Tang
• Arinda Maria Taylor, BA
• Kirby Taylor, RN
• Lee W Thach, DMD
• Deepak Thatai, MD
• The Community Family, Inc.
• Thomas R Montenero D.M.D.P.C.
• Alicia V Thomas

• Oral and Maxillofacial Surgery (Dentist) in Everett, MA
• Providers in Everett, MA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.