Individual provider Active NPI

Michael Preston Malmquist, DMD

  • Dentist
  • Malden, MA
National Provider Identifier
1376791715
Registry record updated Aug 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22244 Issued in MA
Practice address
7 Pleasant St
Malden, MA 02148-5106
Phone
(781) 388-0900
NPI assigned
Aug 27, 2008
Last updated
Aug 27, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 22244 MA Primary

Addresses

Primary practice location

7 Pleasant St
Malden, MA 02148-5106

Mailing address

7 Pleasant St
Malden, MA 02148-5106
Phone (781) 388-0900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jul 24, 2015 through Jul 24, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
22244MAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Jay P Malmquist DMD PC Current Accepting new patients
Oregon Anesthesiology Group PC Past Accepting new patients
Kour Dental Group, LLC Past Accepting new patients
Malden Family Dental PC Dentist Past Accepting new patients

Locations

1750 S Harbor Way
Ste 100
Portland, OR 97201
Phone (503) 292-8824

Organizations & group practices 4

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": "1219795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219795200000",
    "number": "1376791715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 PLEASANT ST",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021485106",
            "telephone_number": "781-388-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 PLEASANT ST",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021485106",
            "telephone_number": "781-388-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALMQUIST",
        "first_name": "MICHAEL",
        "middle_name": "PRESTON",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-27",
        "last_updated": "2008-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "22244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Malden, MA

Sources for this page

Verify at the official NPI Registry.