Active NPI
Steven A Geller, DMD
- Periodontics
- Greenfield, MA
National Provider Identifier
1841303278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 13181
- Practice address
- 33 Riddell St
Greenfield, MA 01301-2025 - Phone
- (413) 773-7100
- Fax
- (413) 774-7271
- NPI assigned
- Aug 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 13181 | MA | Primary |
Addresses
Primary practice location
33 Riddell St
Greenfield, MA 01301-2025
Mailing address
54 Rosewood LN
Spofford, NH 03462-4422
Phone (603) 363-8910
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150629001426 | MA | Order and Referring Only - Dentist | 4082926456 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13181 | MA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1841303278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "54 ROSEWOOD LN",
"city": "SPOFFORD",
"state": "NH",
"postal_code": "034624422",
"telephone_number": "603-363-8910",
"fax_number": "413-774-7271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 RIDDELL ST",
"city": "GREENFIELD",
"state": "MA",
"postal_code": "013012025",
"telephone_number": "413-773-7100",
"fax_number": "413-774-7271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GELLER",
"first_name": "STEVEN",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "MA",
"license": "13181",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.