Active NPI
Denisa Stasa, DMD
- Dentist
- Dorchester, MA
National Provider Identifier
1689987646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN1855473
- Practice address
- 637 Washington Street
Dental Dept
Dorchester, MA 02124-3510 - Phone
- (617) 825-9660
- Fax
- (617) 288-7898
- NPI assigned
- Jul 20, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | DN1855473 | MA | Primary |
Addresses
Primary practice location
637 Washington Street
Dental Dept
Dorchester, MA 02124-3510
Mailing address
637 Washington Street
Dental Dept
Dorchester, MA 02124-3510
Phone (617) 825-9660
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
| License | State | Type | Specialty |
|---|---|---|---|
| DN1855473 | MA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279584000000",
"number": "1689987646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "637 WASHINGTON STREET",
"address_2": "DENTAL DEPT",
"city": "DORCHESTER",
"state": "MA",
"postal_code": "021243510",
"telephone_number": "617-825-9660",
"fax_number": "617-288-7898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "637 WASHINGTON STREET",
"address_2": "DENTAL DEPT",
"city": "DORCHESTER",
"state": "MA",
"postal_code": "021243510",
"telephone_number": "617-825-9660",
"fax_number": "617-288-7898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STASA",
"first_name": "DENISA",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-20",
"last_updated": "2010-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "DN1855473",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dorchester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.