Justin James Cardarelli, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN1856909 Issued in MA

Practice address

165 Bedford St
Suite #2
Burlington, MA 01803-2758

Phone

(781) 912-3219

Fax

(781) 221-7839

NPI assigned

Jun 22, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• James P Kostas D M D PC

  • General Practice Dentistry
  • Burlington, MA
  • NPI 1881905529
  NPD (past)

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

{
    "created_epoch": "1434931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434931200000",
    "number": "1679955082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 BEDFORD ST",
            "address_2": "SUITE #2",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018032758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 BEDFORD ST",
            "address_2": "SUITE #2",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018032758",
            "telephone_number": "781-912-3219",
            "fax_number": "781-221-7839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDARELLI",
        "first_name": "JUSTIN",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-22",
        "last_updated": "2015-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1856909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Suzanne Capecci, O.D.
• Suzanne Marie Cappella I, N.P.
• Joseph M Cappuccio, DO
• Joan Ellen Caragher, MD
• Rachel M Carbonneau, RN
• Careerstaff Unlimited
• Sarah Carew, NP
• Grace Carey, MCN, RD
• Julianne Cargill, PA-C
• Katherine F Carithers, RD

• Dentist in Burlington, MA
• Providers in Burlington, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.