Active NPI
Paul Frederick Forte, DDS
- General Practice Dentistry
- Peabody, MA
National Provider Identifier
1295718773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 14399
- Practice address
- 89 Foster St
Peabody, MA 01960-8925 - Phone
- (978) 744-8388
- Fax
- (978) 744-0079
- NPI assigned
- Nov 29, 2005
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 3467 | ME | |
| General Practice Dentistry | 1223G0001X | 8109 | MD | |
| General Practice Dentistry | 1223G0001X | 14399 | MA | Primary |
Addresses
Primary practice location
89 Foster St
Peabody, MA 01960-8925
Mailing address
47 Congress St
Salem, MA 01970-7308
Phone (978) 744-8388
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160521000124 | MA | Order and Referring Only - Dentist | 0345539946 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14399 | MA | MD | General Practice Dentistry |
| 8109 | MD | MD | General Practice Dentistry |
| 3467 | ME | MD | General Practice Dentistry |
Interoperability endpoints
- pforte19309@direct.ctc.masshiway.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359590400000",
"number": "1295718773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47 CONGRESS ST",
"city": "SALEM",
"state": "MA",
"postal_code": "019707308",
"telephone_number": "978-744-8388",
"fax_number": "978-744-0079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "89 FOSTER ST",
"city": "PEABODY",
"state": "MA",
"postal_code": "019608925",
"telephone_number": "978-744-8388",
"fax_number": "978-744-0079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORTE",
"first_name": "PAUL",
"middle_name": "FREDERICK",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-29",
"last_updated": "2013-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "ME",
"license": "3467",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MD",
"license": "8109",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MA",
"license": "14399",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peabody, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2013; 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.