Individual provider Active NPI

Barry Howard Danzig, D.D.S.

  • General Practice Dentistry
  • Billerica, MA
National Provider Identifier
1467463075
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12298 Issued in MA
Practice address
662 Boston Rd
Billerica, MA 01821-5318
Phone
(978) 667-2741
Fax
(978) 667-7846
NPI assigned
Aug 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 12298 MA Primary

Addresses

Primary practice location

662 Boston Rd
Billerica, MA 01821-5318

Mailing address

662 Boston Rd
Billerica, MA 01821-5318
Phone (978) 667-2741

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
I20150715000301 MA Order and Referring Only - DentistPractitioner - Dentist 3476866831

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12298MAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Grateful Dentists General Practice 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467463075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "662 BOSTON RD",
            "city": "BILLERICA",
            "state": "MA",
            "postal_code": "018215318",
            "telephone_number": "978-667-2741",
            "fax_number": "978-667-7846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "662 BOSTON RD",
            "city": "BILLERICA",
            "state": "MA",
            "postal_code": "018215318",
            "telephone_number": "978-667-2741",
            "fax_number": "978-667-7846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANZIG",
        "first_name": "BARRY",
        "middle_name": "HOWARD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "12298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Billerica, MA

Sources for this page

Verify at the official NPI Registry.