DR. BART FREDERICK BLAESER D.M.D. M.D. NPI 1477544609

NPI Information

  • NPI: 1477544609
  • Provider Name: DR. BART FREDERICK BLAESER, D.M.D., M.D.
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 6 ESSEX CENTER DR
    SUITE 112
    PEABODY, MA
    ZIP 01960
  • Phone: (978) 531-1450

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NPI Details

DR. Bart Frederick Blaeser, D.M.D., M.D. is an oral and maxillofacial surgery dentist in Peabody, MA with 29 years of experience. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DR. Bart Frederick Blaeser, D.M.D., M.D. NPI is 1477544609. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: HARVARD MEDICAL SCHOOL
Graduation Year:1997

The provider's business location address is:

6 ESSEX CENTER DR
SUITE 112
PEABODY, MA
ZIP 01960-910
Phone: (978) 531-1450
Fax: (978) 531-9984

The NPI 1477544609 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • X-ray of lower jaws, upper jaws and teeth (HCPCS:70355)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 11/5/2005 and was last updated on 4/13/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223S0112XDentistOral and Maxillofacial Surgery18545MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
116588OTHERMASSACHUSETTSPILGRIM
2203656OTHERMASSACHUSETTSTUFTS
3A31275MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTS
4U81356MEDICARE UPINMASSACHUSETTS
5X07909OTHERMASSACHUSETTSBCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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