Individual provider Active NPI

Stephan Ginsberg, DMD

  • General Practice Dentistry
  • Mansfield, MA
National Provider Identifier
1912981358
Registry record updated Dec 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
13591 Issued in MA
Practice address
235 Central St
Mansfield, MA 02048-1341
Phone
(508) 339-3766
Fax
(508) 339-3767
NPI assigned
Nov 30, 2005
Last updated
Dec 4, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2009

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 13591 MA Primary

Addresses

Primary practice location

235 Central St
Mansfield, MA 02048-1341

Mailing address

235 Central St
Mansfield, MA 02048-1341
Phone (508) 339-3766

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
I20150312002386 MA Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 5698091403

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13591MAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Mansfield Family Dental, LLC General Practice Past Accepting new patients
Ginsberg Family Dental LLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259884800000",
    "number": "1912981358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 CENTRAL ST",
            "city": "MANSFIELD",
            "state": "MA",
            "postal_code": "020481341",
            "telephone_number": "508-339-3766",
            "fax_number": "508-339-3767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 CENTRAL ST",
            "city": "MANSFIELD",
            "state": "MA",
            "postal_code": "020481341",
            "telephone_number": "508-339-3766",
            "fax_number": "508-339-3767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GINSBERG",
        "first_name": "STEPHAN",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-30",
        "last_updated": "2009-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "13591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, MA

Sources for this page

Verify at the official NPI Registry.