Active NPI
Pamela Regan Mallegol, D.M.D.
- Endodontics
- Scituate, MA
National Provider Identifier
1871639278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 19331
- Practice address
- 56 New Driftway
Scituate, MA 02066-4533 - Phone
- (781) 545-3703
- NPI assigned
- Jan 30, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 19331 | MA | Primary |
Addresses
Primary practice location
56 New Driftway
Scituate, MA 02066-4533
Mailing address
86 Captains Hill Rd
Duxbury, MA 02332-5055
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 |
|---|---|---|---|
| 19331 | MA | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1871639278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "86 CAPTAINS HILL RD",
"city": "DUXBURY",
"state": "MA",
"postal_code": "023325055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "56 NEW DRIFTWAY",
"city": "SCITUATE",
"state": "MA",
"postal_code": "020664533",
"telephone_number": "781-545-3703"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALLEGOL",
"first_name": "PAMELA",
"middle_name": "REGAN",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "MA",
"license": "19331",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scituate, 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.