Bart Frederick Blaeser, D.M.D., M.D.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

18545 Issued in MA

Practice address

6 Essex Center Dr
Suite 112
Peabody, MA 01960-2910

Phone

(978) 531-1450

Fax

(978) 531-9984

NPI assigned

Nov 5, 2005

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 3

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

Specialty

Oral Surgery

Education

Harvard Medical School, 1997

Medicare assignment

May accept Medicare assignment

Group practices

North Boston Oral and Facial Surgery IncGroup PAC ID 0941427785, 3 clinicians

Salem-Peabody Oral Surgery IncGroup PAC ID 6204927700, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• North Boston Oral & Facial Surgery Inc

  • Oral and Maxillofacial Surgery (Dentist)
  • Amesbury, MA
  • NPI 1992120463

  MA

  Medicare reassignment Care Compare group
• Salem Peabody Oral Surgery Inc.

  • Oral and Maxillofacial Surgery (Dentist)
  • Peabody, MA
  • NPI 1437198819

  MA

  Medicare reassignment Care Compare group
• Lynn Oral Surgery Associates Inc

  • Oral and Maxillofacial Surgery (Dentist)
  • Lynn, MA
  • NPI 1508096496

  MA

  Medicare reassignment
• Melrose Wakefield Oral Surgery Inc.

  • Oral and Maxillofacial Surgery (Dentist)
  • Melrose, MA
  • NPI 1568409902

  MA

  Medicare reassignment

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

{
    "created_epoch": "1131148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271116800000",
    "number": "1477544609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "732 MAIN ST",
            "city": "BOXFORD",
            "state": "MA",
            "postal_code": "019211126",
            "telephone_number": "978-531-1450",
            "fax_number": "978-531-9984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 ESSEX CENTER DR",
            "address_2": "SUITE 112",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019602910",
            "telephone_number": "978-531-1450",
            "fax_number": "978-531-9984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAESER",
        "first_name": "BART",
        "middle_name": "FREDERICK",
        "name_prefix": "Dr.",
        "credential": "D.M.D., M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-05",
        "last_updated": "2010-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MA",
            "license": "18545",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "203656",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "X07909",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PILGRIM",
            "identifier": "16588",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Subroto Bhattacharya, MD
• Bio-Medical Applications of Massachusetts, Inc.
• Bioproboston
• Joya Bird, NP
• Christopher P Birdsall, MD
• Gregory R. Blaha, MD, PHD
• Jessica Blaney, N.P.
• Andrew Blocksidge
• Blomerth Chiropractic
• Ellen Marie Blomerth, D.C.

• All providers in Peabody, MA
• Oral and Maxillofacial Surgery (Dentist) in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2010; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.