Individual provider Active NPI

Alexis Cenami, DMD

  • General Practice Dentistry
  • Tewksbury, MA
National Provider Identifier
1881033033
Registry record updated Jun 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN1856270 Issued in MA
Practice address
1418 Main St
Tewksbury, MA 01876-4756
Phone
(978) 851-7890
NPI assigned
Jun 20, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2013

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 DN1856270 MA Primary

Addresses

Primary practice location

1418 Main St
Tewksbury, MA 01876-4756

Mailing address

164 Thorndike St Apt 3
Brookline, MA 02446-5873
Phone (954) 326-9635

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
I20150708000040 MA Order and Referring Only - DentistPractitioner - Dentist 9638481492

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN1856270MAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Tewksbury Dental Associates General Practice Past 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": "1371686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371686400000",
    "number": "1881033033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 THORNDIKE ST APT 3",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024465873",
            "telephone_number": "954-326-9635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1418 MAIN ST",
            "city": "TEWKSBURY",
            "state": "MA",
            "postal_code": "018764756",
            "telephone_number": "978-851-7890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CENAMI",
        "first_name": "ALEXIS",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-20",
        "last_updated": "2013-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1856270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tewksbury, MA

Sources for this page

Verify at the official NPI Registry.