Organization Active NPI

Dansinger Transformation Method LLC

  • Internal Medicine Physician
  • Auburndale, MA
National Provider Identifier
1629427414
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
DANSINGER TRANSFORMATION METHOD LLC
Practice address
275 Grove St Ste 400
Auburndale, MA 02466-2272
Phone
(617) 600-8863
Fax
(617) 207-2896
NPI assigned
Jun 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michael L. Dansinger, MDNPI 1629151089
Title
Owner
Phone
(617) 636-7105

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

275 Grove St Ste 400
Auburndale, MA 02466-2272

Mailing address

831 Beacon St Ste 264
Newton, MA 02459-1822
Phone (617) 600-8863

Other names 1

  • Diabetes Reversal Partners Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161214001759 MA Part B Supplier - Clinic/Group Practice 8426338146 Receives reassigned benefits from 1 practitioner
Practice locations: Auburndale, MA

National Provider Directory

National Provider Directory

Locations

275 Grove St
Ste 2
Auburndale, MA 02466

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1465776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692835200000",
    "number": "1629427414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "831 BEACON ST STE 264",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024591822",
            "telephone_number": "617-600-8863",
            "fax_number": "617-207-2896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 GROVE ST STE 400",
            "city": "AUBURNDALE",
            "state": "MA",
            "postal_code": "024662272",
            "telephone_number": "617-600-8863",
            "fax_number": "617-207-2896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANSINGER TRANSFORMATION METHOD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-13",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A",
        "authorized_official_last_name": "DANSINGER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-636-7105",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diabetes Reversal Partners",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Auburndale, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.