Active NPI
Daniel Regan, DMD
- Orthodontics and Dentofacial Orthopedics Dentistry
- Norwell, MA
National Provider Identifier
1811555006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 019033360
- Practice address
- 3 Trout Brook LN
Norwell, MA 02061-1236 - Phone
- (781) 724-3991
- NPI assigned
- Jun 3, 2019
- Last updated
- Jan 14, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DN1858370 | MA | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 021003125 | IL | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 019033360 | IL | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
3 Trout Brook LN
Norwell, MA 02061-1236
Mailing address
3 Trout Brook LN
Norwell, MA 02061-1236
Phone (781) 724-3991
Other practice location 1
21680 W Bluemound Rd
Waukesha, WI 53186
Phone (262) 522-7447
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 |
|---|---|---|---|
| 019033360 | IL | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| 021003125 | IL | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| DN1858370 | MA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642118400000",
"number": "1811555006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 TROUT BROOK LN",
"city": "NORWELL",
"state": "MA",
"postal_code": "020611236",
"telephone_number": "781-724-3991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 TROUT BROOK LN",
"city": "NORWELL",
"state": "MA",
"postal_code": "020611236",
"telephone_number": "781-724-3991"
}
],
"practiceLocations": [
{
"address_1": "21680 W Bluemound Rd",
"address_purpose": "LOCATION",
"city": "Waukesha",
"state": "WI",
"postal_code": "53186",
"country_code": "US",
"telephone_number": "262-522-7447",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REGAN",
"first_name": "DANIEL",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-03",
"last_updated": "2022-01-14",
"certification_date": "2022-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "MA",
"license": "DN1858370",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "IL",
"license": "021003125",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "IL",
"license": "019033360",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norwell, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.