Active NPI
Donald L Feldman, DMD
- Orthodontics and Dentofacial Orthopedics Dentistry
- East Boston, MA
National Provider Identifier
1366454134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 11068
- Practice address
- 3 Meridian St
East Boston, MA 02128-1928 - Phone
- (617) 569-7300
- Fax
- (617) 569-8689
- NPI assigned
- Aug 12, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 11068 | MA | Primary |
Addresses
Primary practice location
3 Meridian St
East Boston, MA 02128-1928
Mailing address
3 Meridian St
East Boston, MA 02128-1928
Phone (617) 569-7300
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0257087 | Medicaid | MA | |
| 00004 | Other | MA | DELTA |
| X10244 | Other | MA | BXBS |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11068 | MA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nicholas R Franco Jr DMD PC | Orthodontics and Dentofacial Orthopedics | Past | 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.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- East Boston, MA
- NPI 1548272313
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366454134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 MERIDIAN ST",
"city": "EAST BOSTON",
"state": "MA",
"postal_code": "021281928",
"telephone_number": "617-569-7300",
"fax_number": "617-569-8689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 MERIDIAN ST",
"city": "EAST BOSTON",
"state": "MA",
"postal_code": "021281928",
"telephone_number": "617-569-7300",
"fax_number": "617-569-8689"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FELDMAN",
"first_name": "DONALD",
"middle_name": "L",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "MA",
"license": "11068",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0257087",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DELTA",
"identifier": "00004",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BXBS",
"identifier": "X10244",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in East Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.