Individual provider Active NPI

Theodore Steven Safer, D.D.S.

  • General Practice Dentistry
  • Taunton, MA
National Provider Identifier
1295809580
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
15210 Issued in MA
Practice address
45 Cohannet St
Taunton, MA 02780-3903
Phone
(508) 823-0781
Fax
(508) 977-0708
NPI assigned
Nov 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 15210 MA Primary

Addresses

Primary practice location

45 Cohannet St
Taunton, MA 02780-3903

Mailing address

45 Cohannet St
Taunton, MA 02780-3903
Phone (508) 823-0781

Other identifiers 1

IdentifierTypeStateIssuer
0263427MedicaidMA

Other names 1

  • Dr. Theodore Steven Safer Professional 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
I20160211002072 MA Order and Referring Only - DentistPractitioner - Dentist 9537463518

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15210MAMDGeneral Practice Dentistry

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": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295809580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 COHANNET ST",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027803903",
            "telephone_number": "508-823-0781",
            "fax_number": "508-977-0708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 COHANNET ST",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027803903",
            "telephone_number": "508-823-0781",
            "fax_number": "508-977-0708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAFER",
        "first_name": "THEODORE",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "15210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0263427",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THEODORE",
            "last_name": "SAFER",
            "middle_name": "STEVEN",
            "prefix": "DR.",
            "credential": "D.D.S.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Taunton, MA

Sources for this page

Verify at the official NPI Registry.