Active NPI
Michael Miskelly, DMD
- General Practice Dentistry
- West Townsend, MA
National Provider Identifier
1942867544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN1858301
- Practice address
- 370 Main St
West Townsend, MA 01474-1052 - Phone
- (978) 597-2100
- NPI assigned
- May 20, 2019
- Last updated
- Sep 6, 2019
- Sex
- Male
- Sole proprietor
- No
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 | DN1858301 | MA | Primary |
Addresses
Primary practice location
370 Main St
West Townsend, MA 01474-1052
Mailing address
22 College Rd
Burlington, MA 01803-2708
Other practice location 1
205 Willow St # B
South Hamilton, MA 01982-2255
Phone (978) 468-7746
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
| License | State | Type | Specialty |
|---|---|---|---|
| DN1858301 | MA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567728000000",
"number": "1942867544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 COLLEGE RD",
"city": "BURLINGTON",
"state": "MA",
"postal_code": "018032708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "370 MAIN ST",
"city": "WEST TOWNSEND",
"state": "MA",
"postal_code": "014741052",
"telephone_number": "978-597-2100"
}
],
"practiceLocations": [
{
"address_1": "205 Willow St # B",
"address_purpose": "LOCATION",
"city": "South Hamilton",
"state": "MA",
"postal_code": "019822255",
"country_code": "US",
"telephone_number": "978-468-7746",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MISKELLY",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-05-20",
"last_updated": "2019-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MA",
"license": "DN1858301",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Townsend, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.