Individual provider Active NPI

Joseph Santelli, D.D.S.P.C.

  • General Practice Dentistry
  • Duxbury, MA
National Provider Identifier
1619133360
Registry record updated Aug 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12151 Issued in MA
Practice address
33 Enterprise St
Suite #9
Duxbury, MA 02332
Phone
(781) 934-9444
Fax
(781) 934-9448
NPI assigned
Aug 1, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2008

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 12151 MA Primary

Addresses

Primary practice location

33 Enterprise St
Suite #9
Duxbury, MA 02332

Mailing address

33 Enterprise St
Suite #9
Duxbury, MA 02332-3330
Phone (781) 934-9444

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
12151MAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
David a Scardella DMD PC General Practice Past 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": "1217548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217548800000",
    "number": "1619133360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 ENTERPRISE ST",
            "address_2": "SUITE #9",
            "city": "DUXBURY",
            "state": "MA",
            "postal_code": "023323330",
            "telephone_number": "781-934-9444",
            "fax_number": "781-934-9448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 ENTERPRISE ST",
            "address_2": "SUITE #9",
            "city": "DUXBURY",
            "state": "MA",
            "postal_code": "02332",
            "telephone_number": "781-934-9444",
            "fax_number": "781-934-9448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTELLI",
        "first_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.P.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-01",
        "last_updated": "2008-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "12151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duxbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.