Individual provider Active NPI

John William Zarrella, DMD

  • General Practice Dentistry
  • Ashland, MA
National Provider Identifier
1609926351
Registry record updated Jun 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
16914 Issued in MA
Practice address
171 Main Street
Suite 100
Ashland, MA 01721
Phone
(508) 881-1280
Fax
(508) 881-3529
NPI assigned
Jan 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2011

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 16914 MA Primary

Addresses

Primary practice location

171 Main Street
Suite 100
Ashland, MA 01721

Mailing address

171 Main Street
Suite 100
Ashland, MA 01721
Phone (508) 881-1280

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
I20150902001276 MA Order and Referring Only - DentistPractitioner - Dentist 0941516199

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16914MAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Ashland Elite Dental PLLC General Practice PastSince Jan 19, 2020 Accepting new patients
John W. Zarrella, D.M.D., LLC. General Practice Past Accepting new patients

Organizations & group practices 2

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": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309305600000",
    "number": "1609926351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 MAIN STREET",
            "address_2": "SUITE 100",
            "city": "ASHLAND",
            "state": "MA",
            "postal_code": "01721",
            "telephone_number": "508-881-1280",
            "fax_number": "508-881-3529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 MAIN STREET",
            "address_2": "SUITE 100",
            "city": "ASHLAND",
            "state": "MA",
            "postal_code": "01721",
            "telephone_number": "508-881-1280",
            "fax_number": "508-881-3529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZARRELLA",
        "first_name": "JOHN",
        "middle_name": "WILLIAM",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2011-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "16914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, MA

Sources for this page

Verify at the official NPI Registry.