Constantin Darzenta, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

15160 Issued in MA

Practice address

96 Old Barnstable Rd
Mashpee, MA 02649-3286

Phone

(508) 477-0070

Fax

(508) 539-0870

NPI assigned

Sep 23, 2008

Sex

Male

Sole proprietor

No

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.

• Mashpee Dental Associates LLC

  • General Practice Dentistry
  • Mashpee, MA
  • NPI 1083680110
  NPD (past) Authorized official

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

{
    "created_epoch": "1222128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222128000000",
    "number": "1760632129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 545",
            "city": "MASHPEE",
            "state": "MA",
            "postal_code": "026490545",
            "telephone_number": "508-477-0070",
            "fax_number": "508-539-0870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 OLD BARNSTABLE RD",
            "city": "MASHPEE",
            "state": "MA",
            "postal_code": "026493286",
            "telephone_number": "508-477-0070",
            "fax_number": "508-539-0870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARZENTA",
        "first_name": "CONSTANTIN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-23",
        "last_updated": "2008-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "15160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia A Craig-Muller, MD
• CVS Pharmacy Inc
• Caitlin Rose D'Amico, RN
• Nyssa A D'Hedouville, O.D.
• Julian Dachille, MD
• Emily Davern
• Alyssa Davis, LCSW
• Donna Marie Davis
• Denise M. Kissell DDS, LLC
• Emily Denmark, PTA

• General Practice Dentistry in Mashpee, MA
• Providers in Mashpee, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; 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.