Individual provider Active NPI

Marilyn Elaine Macleod, DMD

  • General Practice Dentistry
  • Chelmsford, MA
National Provider Identifier
1821295718
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
15354 Issued in MA
Practice address
4 Meeting House Rd
Teamsters Dental
Chelmsford, MA 01824-2766
Phone
(978) 256-9728
NPI assigned
Jul 2, 2007
Sex
Female
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 15354 MA Primary

Addresses

Primary practice location

4 Meeting House Rd
Teamsters Dental
Chelmsford, MA 01824-2766

Mailing address

4 Meeting House Rd
Teamsters Dental
Chelmsford, MA 01824-2766
Phone (978) 256-9728

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
I20141023001390 MA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 1254552821

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821295718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 MEETING HOUSE RD",
            "address_2": "TEAMSTERS DENTAL",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018242766",
            "telephone_number": "978-256-9728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 MEETING HOUSE RD",
            "address_2": "TEAMSTERS DENTAL",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018242766",
            "telephone_number": "978-256-9728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACLEOD",
        "first_name": "MARILYN",
        "middle_name": "ELAINE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "15354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chelmsford, MA

Sources for this page

Verify at the official NPI Registry.