Individual provider Active NPI

Silvia Sequerra, D.M.D.

  • Dentist
  • Roxbury, MA
National Provider Identifier
1578711479
Registry record updated Sep 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
10156 Issued in MA
Practice address
1125 Tremont Street
Whittier Street Health Center
Roxbury, MA 02120
Phone
(617) 989-3242
Fax
(617) 989-3247
NPI assigned
Sep 4, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 10156 MA Primary

Addresses

Primary practice location

1125 Tremont Street
Whittier Street Health Center
Roxbury, MA 02120

Mailing address

45 Auburn St Apt 9
Framingham, MA 01701-4849
Phone (508) 688-7672

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

NPI Registry JSON

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

{
    "created_epoch": "1220486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220486400000",
    "number": "1578711479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 AUBURN ST APT 9",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017014849",
            "telephone_number": "508-688-7672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 TREMONT STREET",
            "address_2": "WHITTIER STREET HEALTH CENTER",
            "city": "ROXBURY",
            "state": "MA",
            "postal_code": "02120",
            "telephone_number": "617-989-3242",
            "fax_number": "617-989-3247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEQUERRA",
        "first_name": "SILVIA",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-04",
        "last_updated": "2008-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "10156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roxbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2008; 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.