Active NPI
Dayana I Escobar, DDS
- General Practice Dentistry
- Waltham, MA
National Provider Identifier
1386866556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 10192
- Practice address
- 564 Main St
Waltham, MA 02452-5516 - Phone
- (781) 693-3800
- Fax
- (781) 693-3817
- NPI assigned
- May 3, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 10192 | MA | Primary |
Addresses
Primary practice location
564 Main St
Waltham, MA 02452-5516
Mailing address
564 Main St
Waltham, MA 02452-5516
Phone (781) 693-3800
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10192 | MA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1231718400000",
"number": "1386866556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "564 MAIN ST",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024525516",
"telephone_number": "781-693-3800",
"fax_number": "781-693-3817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "564 MAIN ST",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024525516",
"telephone_number": "781-693-3800",
"fax_number": "781-693-3817"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESCOBAR",
"first_name": "DAYANA",
"middle_name": "I",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-03",
"last_updated": "2009-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MA",
"license": "10192",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waltham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.