Individual provider Active NPI

Daniel James Bley, DDS

  • Dentist
  • Boston, MA
National Provider Identifier
1518997592
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
19196 Issued in MA
Practice address
2 Center PLZ
Suite 100
Boston, MA 02108-1909
Phone
(617) 227-8536
Fax
(617) 227-7254
NPI assigned
Jul 4, 2006
Sex
Male
Sole proprietor
Yes

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
Dentist 122300000X 19196 MA Primary

Addresses

Primary practice location

2 Center PLZ
Suite 100
Boston, MA 02108-1909

Mailing address

2 Center PLZ
Suite 100
Boston, MA 02108-1909
Phone (617) 227-8536

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150609001659 MA Order and Referring Only - DentistPractitioner - Dentist 3971824434

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19196MAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518997592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CENTER PLZ",
            "address_2": "SUITE 100",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021081909",
            "telephone_number": "617-227-8536",
            "fax_number": "617-227-7254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CENTER PLZ",
            "address_2": "SUITE 100",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021081909",
            "telephone_number": "617-227-8536",
            "fax_number": "617-227-7254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLEY",
        "first_name": "DANIEL",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "19196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.