Active NPI
Kathleen Chloe Margaja Mascardo, DMD, MMSC
- Periodontics
- North Easton, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- DN1858583
- 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, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 103820 | CA | MD | Dentist |
| 103820 | MA | MD | Dentist |
| DN1858583 | MA | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beacon Dental Health Ma II PLLC | Dentist | Current | 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.
-
dba Diamond Dental of Salinas
- General Practice Dentistry
- Salinas, CA
- NPI 1497067979
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.