Active NPI
Denis J Blais, MD
- Specialist
- South Weymouth, MA
National Provider Identifier
1245229335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 59081
- Practice address
- 780 Main St
South Weymouth, MA 02190-1622 - Phone
- (781) 331-4600
- Fax
- (781) 337-5095
- NPI assigned
- Oct 20, 2005
- Last updated
- Apr 12, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 59081 | MA | Primary |
Addresses
Primary practice location
780 Main St
South Weymouth, MA 02190-1622
Mailing address
780 Main St
South Weymouth, MA 02190-1622
Phone (781) 331-4600
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 059081 | Other | MA | TUFTS |
| 0001666001 | Other | MA | CIGNA |
| 0011777 | Other | MA | NEIGHBORHOOD HEALTH PLAN |
| 1900035 | Other | MA | UNITED HEALTHCARE |
| 27748 | Other | MA | HARVARD PILGRIM |
| 34742 | Other | MA | FALLON |
| 4487896 | Other | MA | US HEALTHCARE |
| 9718672 | Medicaid | MA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 59081 | MA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Shore Urology, Inc. | Specialist | Current | Accepting new patients |
Locations
780 Main St
Weymouth, MA 02190
Phone (781) 331-0250
780 Main St
Ste 2C
Weymouth, MA 02190
Phone (781) 331-4600
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- South Weymouth, MA
- NPI 1528055332
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271030400000",
"number": "1245229335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "780 MAIN ST",
"city": "SOUTH WEYMOUTH",
"state": "MA",
"postal_code": "021901622",
"telephone_number": "781-331-4600",
"fax_number": "781-337-5095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "780 MAIN ST",
"city": "SOUTH WEYMOUTH",
"state": "MA",
"postal_code": "021901622",
"telephone_number": "781-331-4600",
"fax_number": "781-337-5095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAIS",
"first_name": "DENIS",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-20",
"last_updated": "2010-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MA",
"license": "59081",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "059081",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "0001666001",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH PLAN",
"identifier": "0011777",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1900035",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "27748",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON",
"identifier": "34742",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US HEALTHCARE",
"identifier": "4487896",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9718672",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in South Weymouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.