Active NPI
Steven Nagy, DMD
- Dentist
- Brockton, MA
National Provider Identifier
1528287349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 21713
- Practice address
- 165 Westgate Dr
Brockton, MA 02301-1821 - Phone
- (617) 877-6152
- Fax
- (315) 454-6324
- NPI assigned
- Apr 24, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 21713 | MA | Primary |
Addresses
Primary practice location
165 Westgate Dr
Brockton, MA 02301-1821
Mailing address
165 Westgate Dr
Brockton, MA 02301-1821
Phone (617) 877-6152
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21713 | MA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187222400000",
"number": "1528287349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "165 WESTGATE DR",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023011821",
"telephone_number": "617-877-6152",
"fax_number": "315-454-6324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "165 WESTGATE DR",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023011821",
"telephone_number": "617-877-6152",
"fax_number": "315-454-6324"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAGY",
"first_name": "STEVEN",
"name_prefix": "Mr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-24",
"last_updated": "2007-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "21713",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brockton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.