Maranda A Bliss, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22253 Issued in MA

Practice address

113 Washington St
Foxboro, MA 02035-1332

Phone

(508) 543-7774

Fax

(508) 543-7747

NPI assigned

Jul 21, 2008

Last updated

Jul 21, 2008By 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

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1216598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216598400000",
    "number": "1376708198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 WASHINGTON ST",
            "city": "FOXBORO",
            "state": "MA",
            "postal_code": "020351332",
            "telephone_number": "508-543-7774",
            "fax_number": "508-543-7747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 WASHINGTON ST",
            "city": "FOXBORO",
            "state": "MA",
            "postal_code": "020351332",
            "telephone_number": "508-543-7774",
            "fax_number": "508-543-7747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLISS",
        "first_name": "MARANDA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-21",
        "last_updated": "2008-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "22253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie A Berman, M.ED., CCC-SLP
• Susan M Bernen, FNP-BC
• BL Healthcare Inc Deleware (BL Healthcare, Inc.)
• Matthew Blakely, LICSW
• Maureen Blinten
• Earl Bombard IV
• Donna L Bradley, RPT
• Renee Brien
• Brigham and Women's Hospital (Brigham and Women's Rehab Services)
• Carrie Brollier

• General Practice Dentistry in Foxboro, MA
• Providers in Foxboro, 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 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.