Individual provider Active NPI

Henry M Fassler, D.M.D.

  • General Practice Dentistry
  • Wellesley Hills, MA
National Provider Identifier
1821152851
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11139 Issued in MA
Practice address
422 Worcester St
Suite 102
Wellesley Hills, MA 02481-5341
Phone
(781) 237-0085
Fax
(781) 237-7790
NPI assigned
Dec 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 11139 MA Primary

Addresses

Primary practice location

422 Worcester St
Suite 102
Wellesley Hills, MA 02481-5341

Mailing address

422 Worcester St
Suite 102
Wellesley Hills, MA 02481-5341
Phone (781) 237-0085

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160302001722 MA Order and Referring Only - DentistPractitioner - Dentist 8123324035

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11139MAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Henry M. Fassler, D.M.D., P.C. Past 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": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821152851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 WORCESTER ST",
            "address_2": "SUITE 102",
            "city": "WELLESLEY HILLS",
            "state": "MA",
            "postal_code": "024815341",
            "telephone_number": "781-237-0085",
            "fax_number": "781-237-7790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 WORCESTER ST",
            "address_2": "SUITE 102",
            "city": "WELLESLEY HILLS",
            "state": "MA",
            "postal_code": "024815341",
            "telephone_number": "781-237-0085",
            "fax_number": "781-237-7790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FASSLER",
        "first_name": "HENRY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "11139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellesley Hills, MA

Sources for this page

Verify at the official NPI Registry.