Individual provider Active NPI

Melissa Vasquez, DMD

  • Dentist
  • Haverhill, MA
National Provider Identifier
1639892920
Registry record updated Nov 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN1859614 Issued in MA
Practice address
400 Lowell Ave Ste 4
Haverhill, MA 01832-3661
Phone
(978) 914-6333
NPI assigned
Sep 21, 2022
Last updated
Nov 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN1859614 MA Primary

Addresses

Primary practice location

400 Lowell Ave Ste 4
Haverhill, MA 01832-3661

Mailing address

400 Lowell Ave Ste 4
Haverhill, MA 01832-3661
Phone (978) 914-6366

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
DN1859614MAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Excel Dental of Haverhill LLC CurrentSince Nov 20, 2022 Accepting new patients

Locations

400 Lowell Ave
Ste 4
Haverhill, MA 01832
Phone (978) 914-6333

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.

NPI Registry JSON

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

{
    "created_epoch": "1663718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1639892920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 LOWELL AVE STE 4",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018323661",
            "telephone_number": "978-914-6366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 LOWELL AVE STE 4",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018323661",
            "telephone_number": "978-914-6333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASQUEZ",
        "first_name": "MELISSA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-21",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1859614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haverhill, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; 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.