Active NPI
Eric Noel Maser, DMD
- Dentist
- Willimantic, CT
National Provider Identifier
1558794610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 14053
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| DI020454 | NJ | MD | Dentist |
| 14053 | CT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 42 North Dental Care PLLC | Current | Accepting new patients | |
| Malki Dental | Past | Accepting new patients | |
| Connecticut Dental Groups | Past | 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.
-
- Dental Clinic/Center
- Willimantic, CT
- NPI 1205425824
-
- General Practice Dentistry
- Willimantic, CT
- NPI 1548339864
-
- General Practice Dentistry
- River Edge, NJ
- NPI 1972938793
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.