Individual provider Active NPI

Frank Joseph Decaro, DMD

  • General Practice Dentistry
  • Everett, MA
National Provider Identifier
1871516229
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
17280 Issued in MA
Practice address
826 Broadway
Everett, MA 02149
Phone
(617) 389-0877
Fax
(617) 389-0978
NPI assigned
Jul 26, 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 17280 MA Primary

Addresses

Primary practice location

826 Broadway
Everett, MA 02149

Mailing address

826 Broadway
Everett, MA 02149
Phone (617) 389-0877

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
I20150619001696 MA Order and Referring Only - DentistPractitioner - Dentist 2062723844

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17280MAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Everett Workwell Dental PLLC PastSince Aug 11, 2019 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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871516229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "826 BROADWAY",
            "city": "EVERETT",
            "state": "MA",
            "postal_code": "02149",
            "telephone_number": "617-389-0877",
            "fax_number": "617-389-0978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 BROADWAY",
            "city": "EVERETT",
            "state": "MA",
            "postal_code": "02149",
            "telephone_number": "617-389-0877",
            "fax_number": "617-389-0978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECARO",
        "first_name": "FRANK",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "17280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, MA

Sources for this page

Verify at the official NPI Registry.