Individual provider Active NPI

John P Ouano, D.M.D

  • Oral and Maxillofacial Pathology Dentistry
  • Northborough, MA
National Provider Identifier
1518033729
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X
License
18315 Issued in MA
Practice address
1 E Main St
Northborough, MA 01532-1662
Phone
(508) 393-1223
Fax
(508) 473-7914
NPI assigned
Nov 28, 2006
Sex
Male
Sole proprietor
No

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
Oral and Maxillofacial Pathology Dentistry 1223P0106X 18315 MA Primary

Addresses

Primary practice location

1 E Main St
Northborough, MA 01532-1662

Mailing address

1 E Main St
Northborough, MA 01532-1662
Phone (508) 393-1223

Other identifiers 4

IdentifierTypeStateIssuer
BLUE CROSSOtherMAOUX20085
16623OtherMAHARVARD PILGRIM
65505OtherMAFALLON
018315OtherMATUFTS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 1, 2026 through Jul 1, 2028

Care Compare profile

Medicare Care Compare
Specialty
Maxillofacial Surgery
Education
Tufts University School of Dental Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

113 Water St
Milford, MA 01757-3021

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18315MAMDOral and Maxillofacial Pathology Dentist

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518033729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 E MAIN ST",
            "city": "NORTHBOROUGH",
            "state": "MA",
            "postal_code": "015321662",
            "telephone_number": "508-393-1223",
            "fax_number": "508-473-7914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 E MAIN ST",
            "city": "NORTHBOROUGH",
            "state": "MA",
            "postal_code": "015321662",
            "telephone_number": "508-393-1223",
            "fax_number": "508-473-7914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OUANO",
        "first_name": "JOHN",
        "middle_name": "P",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "MA",
            "license": "18315",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OUX20085",
            "identifier": "BLUE CROSS",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "16623",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FALLON",
            "identifier": "65505",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "018315",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northborough, MA

Sources for this page

Verify at the official NPI Registry.