NPIMap

Individual provider Active NPI

Adam Danzig, D.D.S

  • Dentist
  • Billerica, MA
National Provider Identifier
1952604431
Registry record updated Dec 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
21971 Issued in MA
Practice address
662 Boston Road
Billerica, MA 01821
Phone
(978) 667-2741
Fax
(978) 667-7846
NPI assigned
Dec 6, 2010
Last updated
Dec 6, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 21971 MA Primary

Addresses

Primary practice location

662 Boston Road
Billerica, MA 01821

Mailing address

662 Boston Road
Billerica, MA 01821
Phone (978) 667-2741

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
21971MAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Grateful Dentists 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": "1291593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291593600000",
    "number": "1952604431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "662 BOSTON ROAD",
            "city": "BILLERICA",
            "state": "MA",
            "postal_code": "01821",
            "telephone_number": "978-667-2741",
            "fax_number": "978-667-7846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "662 BOSTON ROAD",
            "city": "BILLERICA",
            "state": "MA",
            "postal_code": "01821",
            "telephone_number": "978-667-2741",
            "fax_number": "978-667-7846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANZIG",
        "first_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-12-06",
        "last_updated": "2010-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "21971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Billerica, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2010; 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.