Active NPI
Barbara Taipale Scanlon, D.M.D.
- General Practice Dentistry
- Douglas, MA
National Provider Identifier
1619995230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 16037
- Practice address
- 341 Main St.
Douglas, MA 01516-1047 - Phone
- (508) 476-3115
- Fax
- (508) 476-3214
- NPI assigned
- Jul 18, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 16037 | MA | Primary |
Addresses
Primary practice location
341 Main St.
Douglas, MA 01516-1047
Mailing address
341 Main St.
P.O. Box 1047
Douglas, MA 01516-1047
Phone (508) 476-3115
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| X05812 | Other | MA | BCBS OF MASSACHUSETTS |
| 042975145 001 | Other | MA | DELTA DENTAL OF MASSACHUS |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16037 | MA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shailza D Sharma 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Douglas, MA
- NPI 1124562335
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1619995230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "341 MAIN ST.",
"address_2": "P.O. BOX 1047",
"city": "DOUGLAS",
"state": "MA",
"postal_code": "015161047",
"telephone_number": "508-476-3115",
"fax_number": "508-476-3214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "341 MAIN ST.",
"city": "DOUGLAS",
"state": "MA",
"postal_code": "015161047",
"telephone_number": "508-476-3115",
"fax_number": "508-476-3214"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCANLON",
"first_name": "BARBARA",
"middle_name": "TAIPALE",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MA",
"license": "16037",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MASSACHUSETTS",
"identifier": "X05812",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DELTA DENTAL OF MASSACHUS",
"identifier": "042975145 001",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Douglas, MA
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.