Active NPI
Joseph M Andreas, DMD
- Oral and Maxillofacial Pathology Dentistry
- Newburyport, MA
National Provider Identifier
1811026560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Pathology Dentistry
- License
- 011109
- Practice address
- 21 Highland Ave
Suite 6
Newburyport, MA 01950-3872 - Phone
- (978) 462-7060
- Fax
- (978) 462-9388
- NPI assigned
- Mar 5, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Oral and Maxillofacial Pathology Dentistry | 1223P0106X | 011109 | MA | Primary |
Addresses
Primary practice location
21 Highland Ave
Suite 6
Newburyport, MA 01950-3872
Mailing address
21 Highland Ave
Suite 6
Newburyport, MA 01950-3872
Phone (978) 462-7060
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011109 | MA | MD | Oral and Maxillofacial Pathology Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1811026560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 HIGHLAND AVE",
"address_2": "SUITE 6",
"city": "NEWBURYPORT",
"state": "MA",
"postal_code": "019503872",
"telephone_number": "978-462-7060",
"fax_number": "978-462-9388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 HIGHLAND AVE",
"address_2": "SUITE 6",
"city": "NEWBURYPORT",
"state": "MA",
"postal_code": "019503872",
"telephone_number": "978-462-7060",
"fax_number": "978-462-9388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDREAS",
"first_name": "JOSEPH",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-05",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0106X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Pathology",
"state": "MA",
"license": "011109",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newburyport, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.