Individual provider Active NPI

Maria Cristina Mesquita, DMD

  • General Practice Dentistry
  • Marlborough, MA
National Provider Identifier
1780114660
Registry record updated Jun 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN1857576 Issued in MA
Practice address
116 Main St Ste 1
Marlborough, MA 01752-3811
Phone
(508) 485-2209
NPI assigned
Jun 14, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DN1857576 MA Primary

Addresses

Primary practice location

116 Main St Ste 1
Marlborough, MA 01752-3811

Mailing address

23 Lakeshore Dr Apt H9
North Attleboro, MA 02760-2996
Phone (508) 451-9811

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180531000434 MA Order and Referring Only - Other (Non-Physician) 3678838208

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Townsend Harbor Dental Care Current Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1497398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497398400000",
    "number": "1780114660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 LAKESHORE DR APT H9",
            "city": "NORTH ATTLEBORO",
            "state": "MA",
            "postal_code": "027602996",
            "telephone_number": "508-451-9811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 MAIN ST STE 1",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017523811",
            "telephone_number": "508-485-2209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESQUITA",
        "first_name": "MARIA",
        "middle_name": "CRISTINA",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-14",
        "last_updated": "2017-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1857576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlborough, MA

Sources for this page

Verify at the official NPI Registry.