Individual provider Active NPI

James E Maslowski, DMD

  • General Practice Dentistry
  • Springfield, MA
National Provider Identifier
1336153717
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
16021 Issued in MA
Practice address
1954 Willbraham Rd
Springfield, MA 01129-1823
Phone
(413) 782-4242
Fax
(413) 483-1954
NPI assigned
Jul 28, 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 16021 MA Primary

Addresses

Primary practice location

1954 Willbraham Rd
Springfield, MA 01129-1823

Mailing address

17 Liswell Dr
Feeding Hills, MA 01030
Phone (413) 786-8544

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
I20150715001470 MA Order and Referring Only - DentistPractitioner - Dentist 1557674843

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16021MAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336153717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 LISWELL DR",
            "city": "FEEDING HILLS",
            "state": "MA",
            "postal_code": "01030",
            "telephone_number": "413-786-8544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1954 WILLBRAHAM RD",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011291823",
            "telephone_number": "413-782-4242",
            "fax_number": "413-483-1954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASLOWSKI",
        "first_name": "JAMES",
        "middle_name": "E",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "16021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.