Donald Edward Plourde, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

17793 Issued in MA

Practice address

113 Lowell St
Peabody, MA 01960-4257

Phone

(978) 532-0288

Fax

(978) 977-6382

NPI assigned

Mar 20, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1363737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609891200000",
    "number": "1508108382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 LOWELL ST",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019604257",
            "telephone_number": "978-532-0288",
            "fax_number": "978-977-6382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 LOWELL ST",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019604257",
            "telephone_number": "978-532-0288",
            "fax_number": "978-977-6382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLOURDE",
        "first_name": "DONALD",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-20",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "17793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacquelyn Pierro, MS, OTR/L
• Yessica Yahiris Pimentel Soto
• Lea Pires, PMHNP-BC
• Craig Plaisted
• Kenneth Pleytez
• Deborah A Podradchik
• Marina Podstrelova, M.D.
• Point Orf View Optical, Inc.
• Amy Poirier, LPN
• Jared Polansky, PA-C

• Dentist in Peabody, MA
• Providers in Peabody, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.