Individual provider Active NPI

Barbara Ann Preussner-Bryant, DMD

  • General Practice Dentistry
  • Holliston, MA
National Provider Identifier
1679599740
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
17180 Issued in MA
Practice address
479 Washington St Ste 2
Holliston, MA 01746-1828
Phone
(508) 429-7125
Fax
(508) 429-2018
NPI assigned
Jul 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 17180 MA Primary

Addresses

Primary practice location

479 Washington St Ste 2
Holliston, MA 01746-1828

Mailing address

479 Washington St Ste 2
Holliston, MA 01746-1828
Phone (508) 429-7125

Other names 1

  • Barbara Barbara Preussner Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150313002319 MA Order and Referring Only - DentistPractitioner - Dentist 0345566121

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17180MAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Barbara a Preussner DMD, PC PastSince Apr 20, 2015 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679599740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "479 WASHINGTON ST STE 2",
            "city": "HOLLISTON",
            "state": "MA",
            "postal_code": "017461828",
            "telephone_number": "508-429-7125",
            "fax_number": "508-429-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "479 WASHINGTON ST STE 2",
            "city": "HOLLISTON",
            "state": "MA",
            "postal_code": "017461828",
            "telephone_number": "508-429-7125",
            "fax_number": "508-429-2018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREUSSNER-BRYANT",
        "first_name": "BARBARA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "17180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BARBARA",
            "last_name": "PREUSSNER",
            "middle_name": "BARBARA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Holliston, MA

Sources for this page

Verify at the official NPI Registry.