Individual provider Active NPI

Paul Arnold Nardi, D.D.S.

  • General Practice Dentistry
  • Springfield, MA
National Provider Identifier
1609896265
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
MA14268 Issued in MA
Practice address
275 Bicentennial Hwy
Suite #206
Springfield, MA 01118-1900
Phone
(413) 426-9632
Fax
(413) 426-9634
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 MA14268 MA Primary

Addresses

Primary practice location

275 Bicentennial Hwy
Suite #206
Springfield, MA 01118-1900

Mailing address

275 Bicentennial Hwy
Suite #206
Springfield, MA 01118-1900
Phone (413) 426-9632

Other identifiers 1

IdentifierTypeStateIssuer
X07442OtherMABLUE CROSS & BLUE SHIELD

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160623002231 MA Order and Referring Only - DentistPractitioner - Dentist 4789975673

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MA14268MAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Nardi Family Dental PC PastSince Nov 12, 2023 Accepting new patients

Organizations & group practices 1

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609896265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 BICENTENNIAL HWY",
            "address_2": "SUITE #206",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011181900",
            "telephone_number": "413-426-9632",
            "fax_number": "413-426-9634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 BICENTENNIAL HWY",
            "address_2": "SUITE #206",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011181900",
            "telephone_number": "413-426-9632",
            "fax_number": "413-426-9634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NARDI",
        "first_name": "PAUL",
        "middle_name": "ARNOLD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "MA14268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "X07442",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.