Paul Aldric Serrano, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN1858396 Issued in MA

Practice address

345 Main St
Everett, MA 02149-5710

Phone

(617) 389-3040

NPI assigned

Jun 24, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Elizabeth J Covino DDS PC

  • General Practice Dentistry
  • Everett, MA
  • NPI 1043305725
  NPD (past)

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

{
    "created_epoch": "1561334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562112000000",
    "number": "1831750579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 HILLCREST PKWY",
            "city": "WINCHESTER",
            "state": "MA",
            "postal_code": "018901440",
            "telephone_number": "617-549-4852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 MAIN ST",
            "city": "EVERETT",
            "state": "MA",
            "postal_code": "021495710",
            "telephone_number": "617-389-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERRANO",
        "first_name": "PAUL",
        "middle_name": "ALDRIC",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-24",
        "last_updated": "2019-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1858396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Kathleen Scanlon, DNP
• Brian Schell
• Elizabeth Bancroft Schlesinger
• Renee Ward Schorr, M.ED
• Aldric Serrano
• Heather Ann Sewell, RN
• Omair Shaikh
• Shalom Physical Therapy Everett LLC
• Andrew Miller Shegda, M.S.
• Lyudmila V Shnayder, D.M.D

• General Practice Dentistry in Everett, MA
• Providers in Everett, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.