Anne Marie Clancy, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

20282 Issued in MA

Practice address

37 And a Half Forrester St
Professional Building
Newburyport, MA 01950

Phone

(978) 462-9611

Fax

(978) 463-1751

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

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

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.

• Newburyport Dental Associates PC

  • General Practice Dentistry
  • Newburyport, MA
  • NPI 1487709903
  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": "1396862025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 AND A HALF FORRESTER ST",
            "address_2": "PROFESSIONAL BUILDING",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "01950",
            "telephone_number": "978-462-9611",
            "fax_number": "978-463-1751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 AND A HALF FORRESTER ST",
            "address_2": "PROFESSIONAL BUILDING",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "01950",
            "telephone_number": "978-462-9611",
            "fax_number": "978-463-1751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLANCY",
        "first_name": "ANNE MARIE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "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": "20282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittney Chmielinski, CRNA
• Christine L P Mastrangelo (New Energy Nutrition)
• Lisa Aileen Christopher, LPN
• Scott J Cipolla, LMHC, LICSW
• City of Newburyport
• Jane B Cleveland, PA-C
• Katherine A. Clifford, N.P
• Clipper Cardiovascular Associates, Inc (dba Clipper Cardiovascular Associates)
• Jodi Cobb
• Cognitive & Behavior Therapies of Newburyport, P.C. (Ronald Longpre, Psy.D.)

• General Practice Dentistry in Newburyport, MA
• Providers in Newburyport, 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.
• 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.