Individual provider Active NPI

Carmela Anna Fraziero, D.M.D.

  • General Practice Dentistry
  • East Longmeadow, MA
National Provider Identifier
1629213012
Registry record updated Dec 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
16614 Issued in MA
Practice address
80 Prospect Hills Dr
East Longmeadow, MA 01028-3178
Phone
(413) 530-4396
NPI assigned
Dec 13, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 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 16614 MA Primary

Addresses

Primary practice location

80 Prospect Hills Dr
East Longmeadow, MA 01028-3178

Mailing address

80 Prospect Hills Dr
East Longmeadow, MA 01028-3178

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": "1229126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229126400000",
    "number": "1629213012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 PROSPECT HILLS DR",
            "city": "EAST LONGMEADOW",
            "state": "MA",
            "postal_code": "010283178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 PROSPECT HILLS DR",
            "city": "EAST LONGMEADOW",
            "state": "MA",
            "postal_code": "010283178",
            "telephone_number": "413-530-4396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAZIERO",
        "first_name": "CARMELA",
        "middle_name": "ANNA",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-13",
        "last_updated": "2008-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "16614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Longmeadow, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.