Ekta M Doctor, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

21398 Issued in MA

Practice address

561 Main St
Weymouth, MA 02190-1817

Phone

(781) 335-4900

Fax

(781) 335-6953

NPI assigned

Mar 26, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Center for Cosmetic Dentistry

  dba Stetson Dental Care

  • Dentist
  • Weymouth, MA
  • NPI 1730398082
  NPD (past)

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366560930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 RICCIUTI DR",
            "address_2": "APARTMENT 1321",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021696287",
            "telephone_number": "617-273-0627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "561 MAIN ST",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021901817",
            "telephone_number": "781-335-4900",
            "fax_number": "781-335-6953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOCTOR",
        "first_name": "EKTA",
        "middle_name": "M",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "21398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virginia Marie Disanto, LICSW
• Samantha Marie Dittrich, LCSW
• Michael V Ditullio, M.D.
• Amy Beth Ditzel, RN, MS, NNP
• Ninveh J Dizayer
• Kristin Elizabeth Doherty
• Brian T. Dolan, M.D.
• Linda Donahue
• Uyen VI Le Dong
• Michele Donlon, M.S., CCC-SLP

• General Practice Dentistry in Weymouth, MA
• Providers in Weymouth, MA by specialty
• General Practice Dentistry in Massachusetts

• 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.

Verify at the official NPI Registry.