Individual provider Active NPI

Martha Lucia Neely, D.M.D

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Lunenburg, MA
National Provider Identifier
1255569315
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DN1856348 Issued in MA
Practice address
119 Massachusetts Ave
Lunenburg, MA 01462-1274
Phone
(978) 345-7988
NPI assigned
Jun 29, 2009
Last updated
Mar 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 10203 MA
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DN1856348 MA Primary

Addresses

Primary practice location

119 Massachusetts Ave
Lunenburg, MA 01462-1274

Mailing address

60 Sagamore St
Revere, MA 02151-2537
Phone (781) 853-9992

Other names 1

  • Dr. Martha Lucia Vasquez Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150624000627 MA Order and Referring Only - DentistPractitioner - Dentist 6103137716

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN1856348MAMDOrthodontics and Dentofacial Orthopedic Dentist
10203MAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Martha L. Neely DMD PC Current Accepting new patients

Locations

119 Massachusetts Ave
Lunenburg, MA 01462
Phone (978) 345-0233

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.

NPI Registry JSON

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

{
    "created_epoch": "1246233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1255569315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 SAGAMORE ST",
            "city": "REVERE",
            "state": "MA",
            "postal_code": "021512537",
            "telephone_number": "781-853-9992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 MASSACHUSETTS AVE",
            "city": "LUNENBURG",
            "state": "MA",
            "postal_code": "014621274",
            "telephone_number": "978-345-7988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEELY",
        "first_name": "MARTHA",
        "middle_name": "LUCIA",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-29",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "10203",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MA",
            "license": "DN1856348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARTHA",
            "last_name": "VASQUEZ",
            "middle_name": "LUCIA",
            "prefix": "DR.",
            "credential": "D.D.S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lunenburg, MA

Sources for this page

Verify at the official NPI Registry.