Individual provider Active NPI

Eric Noel Maser, DMD

  • Dentist
  • Willimantic, CT
National Provider Identifier
1558794610
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
14053 Issued in CT
Practice address
1671 Main St
Willimantic, CT 06226-1127
Phone
(860) 456-3153
Fax
(860) 456-8759
NPI assigned
Aug 13, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 14053 CT Primary
Dentist 122300000X DI020454 NJ

Addresses

Primary practice location

1671 Main St
Willimantic, CT 06226-1127

Mailing address

1671 Main St
Willimantic, CT 06226-1127
Phone (860) 456-3153

Other practice location 1

595 River Rd
Edgewater, NJ 07020-1104
Phone (201) 945-2420

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DI020454NJMDDentist
14053CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
42 North Dental Care PLLC CurrentSince Jun 16, 2024 Accepting new patients
Malki Dental Past Accepting new patients
Connecticut Dental Groups PastSince Jun 16, 2024 Accepting new patients

Locations

1671 Main St
Willimantic, CT 06226
Phone (860) 406-7213

Organizations & group practices 3

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": "1376352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1558794610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1671 MAIN ST",
            "city": "WILLIMANTIC",
            "state": "CT",
            "postal_code": "062261127",
            "telephone_number": "860-456-3153",
            "fax_number": "860-456-8759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1671 MAIN ST",
            "city": "WILLIMANTIC",
            "state": "CT",
            "postal_code": "062261127",
            "telephone_number": "860-456-3153",
            "fax_number": "860-456-8759"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "595 River Rd",
            "address_purpose": "LOCATION",
            "city": "Edgewater",
            "state": "NJ",
            "postal_code": "070201104",
            "country_code": "US",
            "telephone_number": "201-945-2420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASER",
        "first_name": "ERIC",
        "middle_name": "NOEL",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-13",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CT",
            "license": "14053",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "DI020454",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willimantic, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.