Individual provider Active NPI

Lindi J. Ezekowitz, DDS

  • Pediatric Dentistry
  • Newburyport, MA
National Provider Identifier
1346217742
Registry record updated Jul 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
21058 Issued in MA
Practice address
7 Graf Rd Ste 2a
Newburyport, MA 01950-4078
Phone
(978) 462-2227
Fax
(978) 462-4343
NPI assigned
Mar 3, 2006
Last updated
Jul 27, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 21058 MA Primary

Addresses

Primary practice location

7 Graf Rd Ste 2a
Newburyport, MA 01950-4078

Mailing address

7 Graf Rd Ste 2a
Newburyport, MA 01950-4078
Phone (978) 462-2227

Other identifiers 1

IdentifierTypeStateIssuer
X09133OtherMABCBS - DENTAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
21058MAMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Kids Airway Dentist, P.C. CurrentSince Oct 16, 2022 Accepting new patients
Newburyport Pediatric Dentistry, P.C. Pediatric Dentistry CurrentSince Aug 2, 2020 Accepting new patients

Locations

3 Cherry St
Ste 303
Newburyport, MA 01950

7 Graf Rd
Ste 2A
Newburyport, MA 01950
Phone (978) 462-2227

Organizations & group practices 2

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": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595808000000",
    "number": "1346217742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 GRAF RD STE 2A",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019504078",
            "telephone_number": "978-462-2227",
            "fax_number": "978-462-4343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 GRAF RD STE 2A",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019504078",
            "telephone_number": "978-462-2227",
            "fax_number": "978-462-4343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EZEKOWITZ",
        "first_name": "LINDI",
        "middle_name": "J.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-03",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MA",
            "license": "21058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS - DENTAL",
            "identifier": "X09133",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburyport, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.