Individual provider Active NPI

Edmund Garrett Orazem, D.M.D.

  • General Practice Dentistry
  • Vineyard Haven, MA
National Provider Identifier
1356499941
Registry record updated Apr 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
14233 Issued in MA
Practice address
31 Beach Road
Unit A202
Vineyard Haven, MA 02568
Phone
(508) 693-1951
Fax
(508) 693-1994
NPI assigned
Jan 8, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2010

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 14233 MA Primary

Addresses

Primary practice location

31 Beach Road
Unit A202
Vineyard Haven, MA 02568

Mailing address

PO Box 4784
Vineyard Haven, MA 02568-0941
Phone (508) 693-1951

Other names 1

  • Dr. Garrett Orazem 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
I20160115001016 MA Order and Referring Only - DentistPractitioner - Dentist 0345543831

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14233MAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Garrett Orazem, DMD General Practice CurrentSince Jul 28, 2019 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270425600000",
    "number": "1356499941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4784",
            "city": "VINEYARD HAVEN",
            "state": "MA",
            "postal_code": "025680941",
            "telephone_number": "508-693-1951",
            "fax_number": "508-693-1994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 BEACH ROAD",
            "address_2": "UNIT A202",
            "city": "VINEYARD HAVEN",
            "state": "MA",
            "postal_code": "02568",
            "telephone_number": "508-693-1951",
            "fax_number": "508-693-1994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORAZEM",
        "first_name": "EDMUND",
        "middle_name": "GARRETT",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2010-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "14233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GARRETT",
            "last_name": "ORAZEM",
            "prefix": "DR.",
            "credential": "D.M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Vineyard Haven, MA

Sources for this page

Verify at the official NPI Registry.