Jason Pelser Freshman, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10767 Issued in MA

Practice address

384 Lowell Street
Suite 106
Wakefield, MA 01880

Phone

(781) 245-5788

Fax

(781) 245-5793

NPI assigned

Jul 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Joy Dental Care PC

  • Dentist
  • Wakefield, MA
  • NPI 1427464064
  NPD (past)

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962425835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "384 LOWELL STREET",
            "address_2": "SUITE 106",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "01880",
            "telephone_number": "781-245-5788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "384 LOWELL STREET",
            "address_2": "SUITE 106",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "01880",
            "telephone_number": "781-245-5788",
            "fax_number": "781-245-5793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRESHMAN",
        "first_name": "JASON",
        "middle_name": "PELSER",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "10767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "X03643",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Jane Foster
• Emma Ryan Found, COTA/L
• Maryesther Fournier, RPH
• Marcia Francis, LPN
• Amy Fratto, LICSW
• Emily Katherine Fries
• Paul Galasso
• Maureen Frances Galvin-Nadeau, APRN, BC
• Cassandra Paige Gammon
• Mary Angelic Gangoy, DMD

• General Practice Dentistry in Wakefield, MA
• Providers in Wakefield, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.