Garrett Kevin Piskor, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

15316 Issued in MA

Practice address

57 Bedford St
Suite 208
Lexington, MA 02420-4500

Phone

(781) 862-1900

Fax

(781) 862-1817

NPI assigned

Sep 4, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Aug 31, 2015 through Aug 31, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Garrett K Piskor, DMD PC

  • Dental Laboratory Technician
  • Lexington, MA
  • NPI 1962414748
  NPD (past) Authorized official

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

{
    "created_epoch": "1188864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358121600000",
    "number": "1932393840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 BEDFORD ST",
            "address_2": "SUITE 208",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024204500",
            "telephone_number": "781-862-1900",
            "fax_number": "781-862-1817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 BEDFORD ST",
            "address_2": "SUITE 208",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024204500",
            "telephone_number": "781-862-1900",
            "fax_number": "781-862-1817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PISKOR",
        "first_name": "GARRETT",
        "middle_name": "KEVIN",
        "name_prefix": "Mr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-04",
        "last_updated": "2013-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "15316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Lexington, MA
• Providers in Lexington, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2013; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.