Active NPI
Donald A Tremblay, DMD
- Dentist
- Easthampton, MA
National Provider Identifier
1407900863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 13730
- Practice address
- 104 Union St
Easthampton, MA 01027 - Phone
- (413) 527-3330
- Fax
- (413) 527-1743
- NPI assigned
- Jan 23, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 13730 | MA | Primary |
Addresses
Primary practice location
104 Union St
Easthampton, MA 01027
Mailing address
PO Box 128
104 Union St
Easthampton, MA 01027
Phone (413) 527-3330
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0250155 | Medicaid | MA | |
| 961405 | Other | MA | UNITED CONCORDIA |
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13730 | MA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Donald a. Tremblay D.M.D.PC | Dentist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Easthampton, MA
- NPI 1356685317
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279756800000",
"number": "1407900863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 128",
"address_2": "104 UNION ST",
"city": "EASTHAMPTON",
"state": "MA",
"postal_code": "01027",
"telephone_number": "413-527-3330",
"fax_number": "413-527-1743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 UNION ST",
"city": "EASTHAMPTON",
"state": "MA",
"postal_code": "01027",
"telephone_number": "413-527-3330",
"fax_number": "413-527-1743"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TREMBLAY",
"first_name": "DONALD",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-23",
"last_updated": "2010-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "13730",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0250155",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "961405",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Easthampton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.