Edmar N. Upite, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19703 Issued in MA

Practice address

380 Merrimack St
Suite #3E
Methuen, MA 01844-5870

Phone

(978) 685-2511

Fax

(978) 683-3985

NPI assigned

Jan 19, 2007

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

Locations

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.

• Pleasant Valley Dental Health PLLC

  • General Practice Dentistry
  • Methuen, MA
  • NPI 1568325223
  NPD Authorized official
• Pleasant Valley Dental Health, PC

  • General Practice Dentistry
  • Methuen, MA
  • NPI 1164433215
  NPD (past)

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333670400000",
    "number": "1265585657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 MERRIMACK ST",
            "address_2": "SUITE #3E",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018445870",
            "telephone_number": "978-685-2511",
            "fax_number": "978-683-3985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 MERRIMACK ST",
            "address_2": "SUITE #3E",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018445870",
            "telephone_number": "978-685-2511",
            "fax_number": "978-683-3985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UPITE",
        "first_name": "EDMAR",
        "middle_name": "N.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-19",
        "last_updated": "2012-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "19703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0200671",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julia H Turner, R.N.
• Twin Oaks ABA LLC
• Ultimate Care Community Health PLLC
• Umass Memorial Medical Group, Inc.
• Alexander Luis Underwood, PHARMD
• Jeidy Dianelva Urena, B.A.
• Urgent Care Operations PC
• Laura Isabela Uribe Sanchez
• Valley Dental Care
• Valley Imaging Merrimack Valley, LLC

• General Practice Dentistry in Methuen, MA
• Providers in Methuen, 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 Apr 6, 2012; 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.