Individual provider Active NPI

Dalba E. Naveo

  • General Practice Dentistry
  • Methuen, MA
National Provider Identifier
1942664727
Registry record updated Jul 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DL12890 Issued in MA
Practice address
51 Osgood St Apt R209
Methuen, MA 01844-3006
Phone
(978) 885-6083
NPI assigned
Apr 7, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Assistant 126800000X DA07390 MA
General Practice Dentistry 1223G0001X DL12890 MA Primary

Addresses

Primary practice location

51 Osgood St Apt R209
Methuen, MA 01844-3006

Mailing address

51 Osgood St Apt R209
Methuen, MA 01844-3006
Phone (978) 885-6083

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

LicenseStateTypeSpecialty
DL12890MAMDGeneral Practice Dentistry
DA07390MAMDDental Assistant

NPI Registry JSON

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

{
    "created_epoch": "1459987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469145600000",
    "number": "1942664727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 OSGOOD ST APT R209",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018443006",
            "telephone_number": "978-885-6083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 OSGOOD ST APT R209",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018443006",
            "telephone_number": "978-885-6083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAVEO",
        "first_name": "DALBA",
        "middle_name": "E.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-07",
        "last_updated": "2016-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": "MA",
            "license": "DA07390",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DL12890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Methuen, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.