Individual provider Active NPI

Kathleen Chloe Margaja Mascardo, DMD, MMSC

  • Periodontics
  • North Easton, MA
National Provider Identifier
1487215257
Registry record updated Jun 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
DN1858583 Issued in MA
Practice address
682 Depot St Suite a
North Easton, MA 02356-5819
Phone
(508) 586-6002
NPI assigned
Jun 24, 2019
Last updated
Jun 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 103820 CA
Dentist 122300000X 103820 MA
Periodontics 1223P0300X DN1858583 MA Primary

Addresses

Primary practice location

682 Depot St Suite a
North Easton, MA 02356-5819

Mailing address

200 Brookline Avenue Unit 707
Boston, MA 02215
Phone (805) 710-3611

Other practice location 1

188 Longwood Ave
Boston, MA 02115-5819
Phone (617) 432-1434

Other practice location 2

1209 N Davis Rd
Salinas, CA 93907-1996
Phone (831) 424-4111

Other practice location 3

750 E Romie Ln
Salinas, CA 93901-4210
Phone (831) 424-0881

Other practice location 4

1188 County St
Somerset, MA 02726-5819
Phone (508) 674-0551

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

State licenses

LicenseStateTypeSpecialty
103820CAMDDentist
103820MAMDDentist
DN1858583MAMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Beacon Dental Health Ma II PLLC Dentist CurrentSince Jul 2, 2023 Accepting new patients
Francisca Lida D. Rosales, DMD, Inc Past Accepting new patients

Locations

3 Post Office Sq
Fl 9
Boston, MA 02109
Phone (617) 426-6011

682 Depot St
Ste A
North Easton, MA 02356
Phone (508) 286-8611

399 W Center St
West Bridgewater, MA 02379
Phone (508) 374-9628

Organizations & group practices 2

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": "1561334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687651200000",
    "number": "1487215257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BROOKLINE AVENUE UNIT 707",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02215",
            "telephone_number": "805-710-3611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "682 DEPOT ST SUITE A",
            "city": "NORTH EASTON",
            "state": "MA",
            "postal_code": "023565819",
            "telephone_number": "508-586-6002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "188 Longwood Ave",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021155819",
            "country_code": "US",
            "telephone_number": "617-432-1434",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1209 N Davis Rd",
            "address_purpose": "LOCATION",
            "city": "Salinas",
            "state": "CA",
            "postal_code": "939071996",
            "country_code": "US",
            "telephone_number": "831-424-4111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "750 E Romie Ln",
            "address_purpose": "LOCATION",
            "city": "Salinas",
            "state": "CA",
            "postal_code": "939014210",
            "country_code": "US",
            "telephone_number": "831-424-0881",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1188 County St",
            "address_purpose": "LOCATION",
            "city": "Somerset",
            "state": "MA",
            "postal_code": "027265819",
            "country_code": "US",
            "telephone_number": "508-674-0551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASCARDO",
        "first_name": "KATHLEEN CHLOE",
        "middle_name": "MARGAJA",
        "name_prefix": "Dr.",
        "credential": "DMD, MMSC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-24",
        "last_updated": "2023-06-25",
        "certification_date": "2023-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "103820",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "103820",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MA",
            "license": "DN1858583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Easton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.