Harriet Stathis-Ubertalli, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

19645 Issued in MA

Practice address

175 Derby St Ste 11
Hingham, MA 02043-4028

Phone

(781) 749-9444

Fax

(781) 749-4487

NPI assigned

Jan 30, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Harriet Stathis Professional name

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• South Shore Periodontics LLP

  • Periodontics
  • Hingham, MA
  • NPI 1669566519
  NPD (past)

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578609152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 FOREST ST",
            "city": "HANOVER",
            "state": "MA",
            "postal_code": "023393305",
            "telephone_number": "339-469-1037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 DERBY ST STE 11",
            "city": "HINGHAM",
            "state": "MA",
            "postal_code": "020434028",
            "telephone_number": "781-749-9444",
            "fax_number": "781-749-4487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STATHIS-UBERTALLI",
        "first_name": "HARRIET",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MA",
            "license": "19645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HARRIET",
            "last_name": "STATHIS",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• South Shore Psychological Services, LLC
• Anne E Spang, APRN, BC
• Sport and Spine Chiropractic PC
• Magenecka Doudeline St-Hubert
• Jill Stanzler-Katz, LICSW
• Eric G. Steeves, LICSW
• Douglas William Stewart, DMD
• Jennifer Anne Stone
• Richard W Strecker, M.D.
• Cathy Sullivan

• Periodontics in Hingham, MA
• Providers in Hingham, MA by specialty
• Periodontics in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.