Individual provider Active NPI

Brandon Eash, D.M.D.

  • General Practice Dentistry
  • Danvers, MA
National Provider Identifier
1821400862
Registry record updated May 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN1856519 Issued in MA
Practice address
49 Maple St Ste 2C
Danvers, MA 01923-2883
Phone
(978) 777-1560
NPI assigned
May 26, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2014

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 DN1856519 MA Primary

Addresses

Primary practice location

49 Maple St Ste 2C
Danvers, MA 01923-2883

Mailing address

49 Maple St Ste 2C
Danvers, MA 01923-2883
Phone (978) 777-1560

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
I20160418000466 MA Order and Referring Only - DentistPractitioner - Dentist 7113225608

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": "1401062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401062400000",
    "number": "1821400862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 MAPLE ST STE 2C",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019232883",
            "telephone_number": "978-777-1560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 MAPLE ST STE 2C",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019232883",
            "telephone_number": "978-777-1560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EASH",
        "first_name": "BRANDON",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-26",
        "last_updated": "2014-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1856519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danvers, MA

Sources for this page

Verify at the official NPI Registry.