Active NPI
Stephan Ginsberg, DMD
- General Practice Dentistry
- Mansfield, MA
National Provider Identifier
1912981358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 13591
- 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, 2009
- Sex
- Male
- 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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150312002386 | MA | Order and Referring Only - Other (Physician) | 5698091403 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13591 | MA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Dentist
- Mansfield, MA
- NPI 1780912600
-
- General Practice Dentistry
- Mansfield, MA
- NPI 1538623913
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.