Active NPI
Gary Stiller & Maurice Zylber, DDS
- Dentist
- Dorchester, MA
National Provider Identifier
1760699698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 11624
- Legal business name
- GARY STILLER & MAURICE ZYLBER, DDS
- Doing business as
- NEPONSET DENTAL ASSOCIATES
- Practice address
- 97 Neponset Ave
Dorchester, MA 02122-3322 - Phone
- (617) 471-2898
- Fax
- (617) 265-6437
- NPI assigned
- May 17, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gary M Stiller, DDS
- Title
- Dentist
- Phone
- (617) 265-6556
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 11624 | MA | Primary |
| Dentist | 122300000X | 11795 | MA |
Addresses
Primary practice location
97 Neponset Ave
Dorchester, MA 02122-3322
Mailing address
97 Neponset Ave
Dorchester, MA 02122-3322
Phone (617) 471-2898
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881763431 | Other | MA | INDIVIDUAL NPI |
| 1174692735 | Other | MA | INDIVIDUAL NPI |
Other names 1
- NEPONSET DENTAL ASSOCIATES
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1760699698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "97 NEPONSET AVE",
"city": "DORCHESTER",
"state": "MA",
"postal_code": "021223322",
"telephone_number": "617-471-2898",
"fax_number": "617-265-6437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "97 NEPONSET AVE",
"city": "DORCHESTER",
"state": "MA",
"postal_code": "021223322",
"telephone_number": "617-471-2898",
"fax_number": "617-265-6437"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GARY STILLER & MAURICE ZYLBER, DDS",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-17",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "STILLER",
"authorized_official_first_name": "GARY",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "617-265-6556",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": "MA",
"license": "11624",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": "MA",
"license": "11795",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI",
"identifier": "1881763431",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI",
"identifier": "1174692735",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "NEPONSET DENTAL ASSOCIATES",
"code": "3",
"type": "Doing Business As"
}
]
}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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.