Active NPI
Louis Rissin, DMD
- Prosthodontics
- North Andover, MA
National Provider Identifier
1962601971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 11569
- Practice address
- 565 Turnpike St
Suite 64
North Andover, MA 01845-5922 - Phone
- (978) 686-2620
- NPI assigned
- Jul 11, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 11569 | MA | Primary |
Addresses
Primary practice location
565 Turnpike St
Suite 64
North Andover, MA 01845-5922
Mailing address
565 Turnpike St
Suite 64
North Andover, MA 01845-5922
Phone (978) 686-2620
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 |
|---|---|---|---|
| 11569 | MA | MD | Prosthodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184112000000",
"number": "1962601971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "565 TURNPIKE ST",
"address_2": "SUITE 64",
"city": "NORTH ANDOVER",
"state": "MA",
"postal_code": "018455922",
"telephone_number": "978-686-2620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "565 TURNPIKE ST",
"address_2": "SUITE 64",
"city": "NORTH ANDOVER",
"state": "MA",
"postal_code": "018455922",
"telephone_number": "978-686-2620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RISSIN",
"first_name": "LOUIS",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-07-11",
"last_updated": "2007-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "MA",
"license": "11569",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Andover, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.