Eduardo Olegario, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19437 Issued in MA

Practice address

172 N Dartmouth Mall
North Dartmouth, MA 02747-4204

Phone

(508) 996-3360

NPI assigned

Oct 27, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• R.Mangapit Jr&E. Olegario Dmdpc

  dba Omnidentix

  • General Practice Dentistry
  • North Dartmouth, MA
  • NPI 1720156540
  NPD (past) Authorized official
• Cslee, DMD,MMSC,PLLC

  dba Omnidentix

  • Dentist
  • Bridgewater, MA
  • NPI 1164714481
  NPD (past)

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1447336144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 OLD MEETINGHOUSE GRN",
            "city": "NORTON",
            "state": "MA",
            "postal_code": "027661700",
            "telephone_number": "508-287-4714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 N DARTMOUTH MALL",
            "city": "NORTH DARTMOUTH",
            "state": "MA",
            "postal_code": "027474204",
            "telephone_number": "508-996-3360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLEGARIO",
        "first_name": "EDUARDO",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "19437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0281476",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Northeast Behavioral Associates
• Northeast Behavioral Associates Inc.
• Northeast Medical Research Associates, Inc.
• Alexa Elizabeth Nowicki, NA
• Kathryn O'Neil, LAT, ATC, EMT-B, CPT
• Katelyn Oliveira, D.O.
• Deborah Leigh Ondrasik, M.D.
• Jose Luis Pacheco, RPH
• Samantha Pacheco
• Slawomir Pajak, M.D.

• General Practice Dentistry in North Dartmouth, MA
• Providers in North Dartmouth, 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 9, 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.