Ian Jay Fessler, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

22011 Issued in MA

Practice address

1037 Beacon St # a
Brookline, MA 02446-5656

Phone

(617) 232-1575

NPI assigned

Nov 8, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194480000000",
    "number": "1255511192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "381 COMMONWEALTH AVE APT 6",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021151824",
            "telephone_number": "617-304-3788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1037 BEACON ST # A",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024465656",
            "telephone_number": "617-232-1575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FESSLER",
        "first_name": "IAN",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-08",
        "last_updated": "2007-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "22011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luke Ferdinands
• Shannon Fernandez-Ledon
• Marcia Lynn Ferrigno, MSW
• Janine Elizabeth Ferro- Landaverde, ATC, CSCS, LAT
• Michael J Ferullo, MSW LICSW
• Christine Fetterer, DPT
• John Ficarelli, D.M.D.
• Brenna Fichter
• Madeleine Field, DPT
• Koryn Elizabeth Fienberg, P.T.A, A.T

• Dentist in Brookline, MA
• Providers in Brookline, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; 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.