Individual provider Active NPI

Maria Dona, D.M.D., MSD, DMSC

  • Periodontics
  • Andover, MA
National Provider Identifier
1457518979
Registry record updated Apr 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
DN1855971 Issued in MA
Practice address
2 Stevens St
Andover, MA 01810-6516
Phone
(978) 475-0567
Fax
(978) 475-7169
NPI assigned
May 21, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X DN1855971 MA Primary

Addresses

Primary practice location

2 Stevens St
Andover, MA 01810-6516

Mailing address

2 Stevens St
Andover, MA 01810-6516
Phone (978) 475-0567

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150319002289 MA Order and Referring Only - DentistPractitioner - Dentist 8628395266

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Andover Periodontics, PC Periodontics 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.

NPI Registry JSON

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366243200000",
    "number": "1457518979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 STEVENS ST",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018106516",
            "telephone_number": "978-475-0567",
            "fax_number": "978-475-7169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 STEVENS ST",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018106516",
            "telephone_number": "978-475-0567",
            "fax_number": "978-475-7169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONA",
        "first_name": "MARIA",
        "credential": "D.M.D., MSD, DMSC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-21",
        "last_updated": "2013-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MA",
            "license": "DN1855971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Andover, MA

Sources for this page

Verify at the official NPI Registry.