Blaise C Eckert, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

15432 Issued in MA

Practice address

68 Leonard Street
Belmont, MA 02478

Phone

(617) 484-5266

Fax

(617) 484-2739

NPI assigned

Aug 3, 2006

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

Other identifiers 2

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Maxillofacial Surgery

Education

Georgetown University School of Medicine, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Belmont Oral and Maxillofacial Surgery LLCGroup PAC ID 3577039437, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mount Auburn Hospital Hospital, Cambridge, MA, CCN 220002

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pasquale Eckert, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Boston, MA
  • NPI 1407384142
  Medicare reassignment

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.

• Belmont Oral and Maxillofacial Surgery LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Belmont, MA
  • NPI 1427811900
  Medicare reassignment Care Compare group NPD
• Blaise C. Eckert, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Belmont, MA
  • NPI 1013587146
  NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mount Auburn Hospital

  • General Acute Care Hospital
  • Cambridge, MA
  • NPI 1689670259
  Care Compare affiliation

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260230400000",
    "number": "1720096076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 LEONARD STREET",
            "city": "BELMONT",
            "state": "MA",
            "postal_code": "02478",
            "telephone_number": "617-484-5266",
            "fax_number": "617-484-2739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 LEONARD STREET",
            "city": "BELMONT",
            "state": "MA",
            "postal_code": "02478",
            "telephone_number": "617-484-5266",
            "fax_number": "617-484-2739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECKERT",
        "first_name": "BLAISE",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2009-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MA",
            "license": "15432",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "0015432",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HCHP",
            "identifier": "16176",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Naomi Dworkin, M.D.
• Karen Dwyer, M.ED.
• Aleksey Dyakov
• Cheyenna Rain Eagle, MT-BC
• Troy Eakman, DPT
• Amber N Edinoff, MD
• Edward J Burns
• Dianthe Warren Eisendrath, MSS
• Courtney Beard Elias, PH.D.
• Jason Elias, PH.D.

• Oral and Maxillofacial Surgery (Dentist) in Belmont, MA
• Providers in Belmont, MA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2009; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.