Individual provider Active NPI

Jack Zvi Gilad, DMD

  • Endodontics
  • North Chelmsford, MA
National Provider Identifier
1952319956
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
18752 Issued in MA
Practice address
73 Princeton St
Suite 202
North Chelmsford, MA 01863
Phone
(978) 251-1515
Fax
(978) 251-1616
NPI assigned
Aug 4, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 18752 MA Primary

Addresses

Primary practice location

73 Princeton St
Suite 202
North Chelmsford, MA 01863

Mailing address

73 Princeton St
Suite 202
North Chelmsford, MA 01863
Phone (978) 251-1515

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
I20150324000289 MA Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 0446577829

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Merrimack Valley Endodontics LLP Endodontics Past Accepting new patients

Organizations & group practices 1

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": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952319956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 PRINCETON ST",
            "address_2": "SUITE 202",
            "city": "NORTH CHELMSFORD",
            "state": "MA",
            "postal_code": "01863",
            "telephone_number": "978-251-1515",
            "fax_number": "978-251-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 PRINCETON ST",
            "address_2": "SUITE 202",
            "city": "NORTH CHELMSFORD",
            "state": "MA",
            "postal_code": "01863",
            "telephone_number": "978-251-1515",
            "fax_number": "978-251-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILAD",
        "first_name": "JACK",
        "middle_name": "ZVI",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "MA",
            "license": "18752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chelmsford, MA

Sources for this page

Verify at the official NPI Registry.