Organization Active NPI

Jose D. Angeles

  • Otolaryngology Physician
  • Winchester, MA
National Provider Identifier
1801125810
Registry record updated Jan 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
MA35160 Issued in MA
Legal business name
JOSE D. ANGELES
Practice address
955 Main St
Suite 104
Winchester, MA 01890-1961
Phone
(781) 729-8855
Fax
(781) 721-4572
NPI assigned
Dec 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2010

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

Authorized official

Name
Dr. Jose Daga Angeles, M.D.
Title
Owner
Phone
(781) 729-8855

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X MA35160 MA Primary

Addresses

Primary practice location

955 Main St
Suite 104
Winchester, MA 01890-1961

Mailing address

955 Main St
Suite 104
Winchester, MA 01890-1961
Phone (781) 729-8855

Other identifiers 1

IdentifierTypeStateIssuer
0143391MedicaidMA

National Provider Directory

National Provider Directory

Locations

955 Main St
Ste 104
Winchester, MA 01890
Phone (781) 729-8855

NPI Registry JSON

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

{
    "created_epoch": "1261440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262563200000",
    "number": "1801125810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 MAIN ST",
            "address_2": "SUITE 104",
            "city": "WINCHESTER",
            "state": "MA",
            "postal_code": "018901961",
            "telephone_number": "781-729-8855",
            "fax_number": "781-721-4572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 MAIN ST",
            "address_2": "SUITE 104",
            "city": "WINCHESTER",
            "state": "MA",
            "postal_code": "018901961",
            "telephone_number": "781-729-8855",
            "fax_number": "781-721-4572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE D. ANGELES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-22",
        "last_updated": "2010-01-04",
        "status": "A",
        "authorized_official_last_name": "ANGELES",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "DAGA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-729-8855",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "MA",
            "license": "MA35160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0143391",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.