Individual provider Active NPI

Mihaela Desantis, D.D.S.

  • General Practice Dentistry
  • Newton, MA
National Provider Identifier
1689682056
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
20398 Issued in MA
Practice address
93 Union St Ste 408
Newton, MA 02459-2241
Phone
(617) 244-4997
NPI assigned
Aug 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

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 20398 MA Primary

Addresses

Primary practice location

93 Union St Ste 408
Newton, MA 02459-2241

Mailing address

93 Union St Ste 408
Newton, MA 02459-2241
Phone (617) 244-4997

Other practice location 1

170 Morton St
Boston, MA 02130-3735
Phone (617) 971-3305

Other names 1

  • Dr. Mihaela Neagu 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
I20160419002204 MA Order and Referring Only - DentistPractitioner - Dentist 1355649674

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20398MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mihaela Neagu, DDS LLC General Practice Past 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": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1689682056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 UNION ST STE 408",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024592241",
            "telephone_number": "617-244-4997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 UNION ST STE 408",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024592241",
            "telephone_number": "617-244-4997"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "170 Morton St",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021303735",
            "country_code": "US",
            "telephone_number": "617-971-3305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DESANTIS",
        "first_name": "MIHAELA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "20398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIHAELA",
            "last_name": "NEAGU",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Newton, MA

Sources for this page

Verify at the official NPI Registry.