Active NPI
Rachel Horwitz, DMD
- Dentist
- Roxbury, MA
National Provider Identifier
1710443171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DL13926
- Practice address
- 45 Dimock St
Roxbury, MA 02119-1208 - Phone
- (617) 442-8800
- Fax
- (617) 541-0950
- NPI assigned
- Feb 11, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | DL13926 | MA | Primary |
Addresses
Primary practice location
45 Dimock St
Roxbury, MA 02119-1208
Mailing address
55 Dimock St
Roxbury, MA 02119-1029
Phone (617) 442-8800
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190308001213 | MA | Order and Referring Only - Dentist | 8022357060 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582588800000",
"number": "1710443171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 DIMOCK ST",
"city": "ROXBURY",
"state": "MA",
"postal_code": "021191029",
"telephone_number": "617-442-8800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 DIMOCK ST",
"city": "ROXBURY",
"state": "MA",
"postal_code": "021191208",
"telephone_number": "617-442-8800",
"fax_number": "617-541-0950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HORWITZ",
"first_name": "RACHEL",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-02-11",
"last_updated": "2020-02-25",
"certification_date": "2020-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "MA",
"license": "DL13926",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roxbury, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2020; 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.