Individual provider Active NPI

Ilene Ea, DMD

  • General Practice Dentistry
  • Lawrence, MA
National Provider Identifier
1568047652
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN10000406 Issued in MA
Practice address
488 Essex St
Lawrence, MA 01840-1242
Phone
(978) 975-8888
NPI assigned
Mar 10, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN10000406 MA Primary

Addresses

Primary practice location

488 Essex St
Lawrence, MA 01840-1242

Mailing address

6 Parkhurst Rd
Chelmsford, MA 01824-1502
Phone (978) 551-7377

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
DN10000406MAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Seidman,Cohen,Herman,Normane,PA Dentist PastSince Oct 1, 2023 Accepting new patients
Jose L Rivera-Zayas DMD PLLC PastSince Dec 15, 2024 Accepting new patients
DB Practice Management, Inc General Practice PastSince Dec 15, 2024 Accepting new patients

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": "1615334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1568047652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 PARKHURST RD",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018241502",
            "telephone_number": "978-551-7377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "488 ESSEX ST",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018401242",
            "telephone_number": "978-975-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EA",
        "first_name": "ILENE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-10",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN10000406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.