Individual provider Active NPI

Anastassia Filipova Dokova, DDS

  • Pediatric Dentistry
  • Chelmsford, MA
National Provider Identifier
1538659149
Registry record updated Sep 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DN1859132 Issued in MA
Practice address
1 Courthouse LN Ste 14
Chelmsford, MA 01824-1736
Phone
(978) 458-2616
NPI assigned
May 18, 2018
Last updated
Sep 21, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X DN1859132 MA Primary

Addresses

Primary practice location

1 Courthouse LN Ste 14
Chelmsford, MA 01824-1736

Mailing address

24 Wayte Rd
Bedford, MA 01730-1630
Phone (919) 627-4748

Other practice location 1

24 Lyman St Ste 240
Westborough, MA 01581-1483
Phone (508) 366-0122

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20180827000524 NC Order and Referring Only - DentistPractitioner - Dentist 8729337688

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN1859132MAMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Sugarbug Dental Suite, PC Pediatric Dentistry PastSince Sep 28, 2021 Accepting new patients
The Dental Place Pediatric Dentistry Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1526601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632182400000",
    "number": "1538659149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 WAYTE RD",
            "city": "BEDFORD",
            "state": "MA",
            "postal_code": "017301630",
            "telephone_number": "919-627-4748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 COURTHOUSE LN STE 14",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018241736",
            "telephone_number": "978-458-2616"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24 Lyman St Ste 240",
            "address_purpose": "LOCATION",
            "city": "Westborough",
            "state": "MA",
            "postal_code": "015811483",
            "country_code": "US",
            "telephone_number": "508-366-0122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOKOVA",
        "first_name": "ANASTASSIA",
        "middle_name": "FILIPOVA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-18",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MA",
            "license": "DN1859132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chelmsford, MA

Sources for this page

Verify at the official NPI Registry.