Dieu Thuy Ly, D.M.D

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

18772 Issued in MA

Practice address

73 Princeton St
Ste 202
N Chelmsford, MA 01863

Phone

(978) 251-1515

Fax

(978) 251-1616

NPI assigned

Sep 1, 2006

Sex

Female

Sole proprietor

No

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

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.

• Merrimack Valley Endodontics LLP

  • Endodontics
  • North Chelmsford, MA
  • NPI 1215945217
  NPD (past)

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428624000000",
    "number": "1265534358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 PRINCETON ST",
            "address_2": "STE 202",
            "city": "N CHELMSFORD",
            "state": "MA",
            "postal_code": "01863",
            "telephone_number": "978-251-1515",
            "fax_number": "978-251-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 PRINCETON ST",
            "address_2": "STE 202",
            "city": "N CHELMSFORD",
            "state": "MA",
            "postal_code": "01863",
            "telephone_number": "978-251-1515",
            "fax_number": "978-251-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LY",
        "first_name": "DIEU",
        "middle_name": "THUY",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2015-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "MA",
            "license": "18772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miret Ibrahim, MD
• Walter Moon Jo, MD
• Merri Lee Johnson, AAMA
• Roula Johnstone, ACNP-BC
• Elizabeth Kyambadde, BSN
• Kirk John Macnaught, MD
• Marybeth Marcotte, RNC
• Paul A Menitoff, MD
• MSW Squared Counseling LLC
• Joseph Muchai

• Endodontics in N Chelmsford, MA
• Providers in N Chelmsford, MA by specialty
• Endodontics in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2015; 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.