Kesleigh Jayne Eysie, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN1858931 Issued in MA

Practice address

79 Hayden Rowe St
Hopkinton, MA 01748-1847

Phone

(508) 435-5437

Fax

(252) 331-7222

NPI assigned

Jun 16, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Dental Place Hopkinton

  • Pediatric Dentistry
  • Hopkinton, MA
  • NPI 1972667616
  NPD (past)

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

{
    "created_epoch": "1592265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624579200000",
    "number": "1396360293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 HAYDEN ROWE ST",
            "city": "HOPKINTON",
            "state": "MA",
            "postal_code": "017481847",
            "telephone_number": "508-435-5437",
            "fax_number": "252-331-7222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 HAYDEN ROWE ST",
            "city": "HOPKINTON",
            "state": "MA",
            "postal_code": "017481847",
            "telephone_number": "508-435-5437",
            "fax_number": "252-331-7222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1851 MacGregor Downs Rd",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "NC",
            "postal_code": "278345925",
            "country_code": "US",
            "telephone_number": "252-331-7225",
            "fax_number": "252-331-7222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EYSIE",
        "first_name": "KESLEIGH",
        "middle_name": "JAYNE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-16",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1858931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Embody Physical Therapy & Wellness, LLC
• Jeanette Lane Emerson, ATC , PTA,
• Angela Yang Esquibel, MD
• Emily E. Everton, DPT
• Express Lane Inc.
• Richard John Falzone, PH.D.
• Weikai Christopher Fang, MD
• FBTC Transitional Sub, LLC
• Jessica Fedorka, PA
• Breanna Carey Ferolla, MSW, LICSW

• Dentist in Hopkinton, MA
• Providers in Hopkinton, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2021; 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.