Active NPI
Thomas Pasquerella, DDS
- General Practice Dentistry
- Peabody, MA
National Provider Identifier
1669705976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 11277
- Practice address
- 210 Andover Street
Smile Dental Associates
Peabody, MA 01960 - Phone
- (978) 532-5550
- Fax
- (978) 532-8078
- NPI assigned
- Sep 18, 2009
- Sex
- Male
- Sole proprietor
- No
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 | 11277 | MA | Primary |
Addresses
Primary practice location
210 Andover Street
Smile Dental Associates
Peabody, MA 01960
Mailing address
210 Andover Street
Smile Dental Associates
Peabody, MA 01960
Phone (978) 532-5550
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Nov 22, 2021 through Nov 22, 2027
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": "1253232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253232000000",
"number": "1669705976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 ANDOVER STREET",
"address_2": "SMILE DENTAL ASSOCIATES",
"city": "PEABODY",
"state": "MA",
"postal_code": "01960",
"telephone_number": "978-532-5550",
"fax_number": "978-532-8078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 ANDOVER STREET",
"address_2": "SMILE DENTAL ASSOCIATES",
"city": "PEABODY",
"state": "MA",
"postal_code": "01960",
"telephone_number": "978-532-5550",
"fax_number": "978-532-8078"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PASQUERELLA",
"first_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-09-18",
"last_updated": "2009-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MA",
"license": "11277",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Peabody, MA
- Mary M Parr, MD
- Lucette Michelle Parrillo Robinson, NP
- Judy E. Parrot-Willis, PT
- Heather Parry, PA
- Reem R. Parseghian, O.D.
- Gregory O Passano
- Pastic and Reconstructive Surgery of Essex County
- James Vincent Pastore, D.M.D
- Ajaykumar S Patel, MD
- Paul E Greenfield (North Shore Psychology & Behavioral Medicine Associates)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.