Active NPI
Resmi P Nair, D.M.D
- Dentist
- Orange, MA
National Provider Identifier
1992842215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 20384
- Practice address
- 9 Grove St
Orange, MA 01364-1009 - Phone
- (978) 544-3515
- Fax
- (978) 544-2104
- NPI assigned
- Jan 30, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 20384 | MA | Primary |
Addresses
Primary practice location
9 Grove St
Orange, MA 01364-1009
Mailing address
9 Grove St
Orange, MA 01364-1009
Phone (978) 544-3515
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| X10633 | Other | MA | BLUE CROSS BLUE SHIELD MA |
| 0208795 | Medicaid | MA | |
| 922 | Other | MA | DELTA DENTAL |
| 1790002 | Other | UNITED CONCORDIA | |
| 9745939 | Medicaid | MA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150526001667 | MA | Order and Referring Only - Dentist | 9638499072 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20384 | MA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1992842215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 GROVE ST",
"city": "ORANGE",
"state": "MA",
"postal_code": "013641009",
"telephone_number": "978-544-3515",
"fax_number": "978-544-2104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 GROVE ST",
"city": "ORANGE",
"state": "MA",
"postal_code": "013641009",
"telephone_number": "978-544-3515",
"fax_number": "978-544-2104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAIR",
"first_name": "RESMI",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "D.M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-30",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "20384",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD MA",
"identifier": "X10633",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0208795",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DELTA DENTAL",
"identifier": "922",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "1790002",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9745939",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Orange, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.