Stephen Shea, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1291520 Issued in MA

Practice address

275 Nichols Rd
Fitchburg, MA 01420-1931

Phone

(978) 665-5820

Fax

(978) 665-5808

NPI assigned

Jul 27, 2006

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 1

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.

• Advantage Dental Oral Health Center of Massachusetts, PC

  dba Advantage Dental Oral Health Center

  • General Practice Dentistry
  • Westborough, MA
  • NPI 1285284604
  NPD (past)

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525219200000",
    "number": "1194749390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 COMPUTER DR",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015811770",
            "telephone_number": "508-329-2250",
            "fax_number": "508-329-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 NICHOLS RD",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014201931",
            "telephone_number": "978-665-5820",
            "fax_number": "978-665-5808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEA",
        "first_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2018-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "1291520",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1319833",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Genesis Segundo Trindade
• Michele E Semonelli, DMD
• Michael Serrano
• Aleena Shahiryar
• Robert L. Shapiro, PH.D.
• Sheela Behavioral Consulting LLC
• Thafur R Shemmeri, DMD MSCD DSCD PC
• Rebecca Shersnow, MS, ATC
• Autumn Shifflett
• Jessica Shugrue

• General Practice Dentistry in Fitchburg, MA
• Providers in Fitchburg, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2018; 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.