Active NPI
Nan E Niland, DDS
- General Practice Dentistry
- Dedham, MA
National Provider Identifier
1790782324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 14447
- Practice address
- 1 Lyons St
Dedham, MA 02026-5599 - Phone
- (781) 329-1400
- Fax
- (781) 278-5667
- NPI assigned
- Jun 28, 2005
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 14447 | MA | Primary |
Addresses
Primary practice location
1 Lyons St
Dedham, MA 02026-5599
Mailing address
400 Commonwealth Ave
Boston, MA 02215-2813
Phone (781) 329-1400
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14447 | Other | DELTA DENTAL | |
| DMA772 | Other | HARVARD PILGRIM POS | |
| X04454 | Other | DENTAL BLUE | |
| DMA772 | Other | HARVARD/PILGRIM | |
| 0016779 | Other | NEIGHBORHOOD HEALTH PLAN | |
| DMA772 | Other | HARVARD PILGRIM PPO | |
| DMA772 | Other | FIRST SENIORITY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14447 | MA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458518400000",
"number": "1790782324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 COMMONWEALTH AVE",
"city": "BOSTON",
"state": "MA",
"postal_code": "022152813",
"telephone_number": "781-329-1400",
"fax_number": "781-278-5667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 LYONS ST",
"city": "DEDHAM",
"state": "MA",
"postal_code": "020265599",
"telephone_number": "781-329-1400",
"fax_number": "781-278-5667"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NILAND",
"first_name": "NAN",
"middle_name": "E",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-28",
"last_updated": "2016-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MA",
"license": "14447",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DELTA DENTAL",
"identifier": "14447",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM POS",
"identifier": "DMA772",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTAL BLUE",
"identifier": "X04454",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD/PILGRIM",
"identifier": "DMA772",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH PLAN",
"identifier": "0016779",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM PPO",
"identifier": "DMA772",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST SENIORITY",
"identifier": "DMA772",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Dedham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.