Individual provider Active NPI

Richard P Traiger, DMD

  • General Practice Dentistry
  • Newton, MA
National Provider Identifier
1831105907
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12259 Issued in MA
Practice address
271 Auburn St
Newton, MA 02466-1915
Phone
(617) 965-3144
Fax
(617) 965-3144
NPI assigned
Jul 31, 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 12259 MA Primary

Addresses

Primary practice location

271 Auburn St
Newton, MA 02466-1915

Mailing address

271 Auburn St
Newton, MA 02466-1915
Phone (617) 965-3144

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
I20150618001428 MA Order and Referring Only - DentistPractitioner - Dentist 8921319807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12259MAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Noah Orenstein DMD PC 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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831105907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 AUBURN ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024661915",
            "telephone_number": "617-965-3144",
            "fax_number": "617-965-3144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 AUBURN ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024661915",
            "telephone_number": "617-965-3144",
            "fax_number": "617-965-3144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAIGER",
        "first_name": "RICHARD",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "12259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, MA

Sources for this page

Verify at the official NPI Registry.