Individual provider Active NPI

Jessica Leigh Pushee, D.M.D.

  • Dentist
  • Foxborough, MA
National Provider Identifier
1548522691
Registry record updated Sep 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN1856004 Issued in MA
Practice address
400 Foxborough Blvd
#9205
Foxborough, MA 02035
Phone
(774) 269-1200
NPI assigned
Jun 14, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN1856004 MA Primary

Addresses

Primary practice location

400 Foxborough Blvd
#9205
Foxborough, MA 02035

Mailing address

400 Foxborough Blvd
#9205
Foxborough, MA 02035
Phone (774) 269-1200

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
I20150327000688 MA Order and Referring Only - DentistPractitioner - Dentist 8224355409

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN1856004MAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Jessica Pushee DMD LLC Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1339632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347235200000",
    "number": "1548522691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 FOXBOROUGH BLVD",
            "address_2": "#9205",
            "city": "FOXBOROUGH",
            "state": "MA",
            "postal_code": "02035",
            "telephone_number": "774-269-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 FOXBOROUGH BLVD",
            "address_2": "#9205",
            "city": "FOXBOROUGH",
            "state": "MA",
            "postal_code": "02035",
            "telephone_number": "774-269-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUSHEE",
        "first_name": "JESSICA",
        "middle_name": "LEIGH",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-14",
        "last_updated": "2012-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1856004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Foxborough, MA

Sources for this page

Verify at the official NPI Registry.