Active NPI
William J Fiore, DMD
- Prosthodontics
- Wakefield, MA
National Provider Identifier
1851496640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 13312
- Practice address
- 39 Yale Avenue
Wakefield, MA 01880 - Phone
- (781) 245-5366
- Fax
- (781) 245-5383
- NPI assigned
- Sep 14, 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 |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 13312 | MA | Primary |
Addresses
Primary practice location
39 Yale Avenue
Wakefield, MA 01880
Mailing address
39 Yale Avenue
Wakefield, MA 01880
Phone (781) 245-5366
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| X05625 | Other | BCBS OF MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13312 | MA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1851496640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39 YALE AVENUE",
"city": "WAKEFIELD",
"state": "MA",
"postal_code": "01880",
"telephone_number": "781-245-5366",
"fax_number": "781-245-5383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39 YALE AVENUE",
"city": "WAKEFIELD",
"state": "MA",
"postal_code": "01880",
"telephone_number": "781-245-5366",
"fax_number": "781-245-5383"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FIORE",
"first_name": "WILLIAM",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "MA",
"license": "13312",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MA",
"identifier": "X05625",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Wakefield, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.