MOBILE DENTAL HYGIENE SERVICES OF WESTERN MASS, LLC — NPI 1245013564 (Licensed & Credentialed Dental Hygienist in BRIMFIELD, MA)

CMS-1500 Box 24J / 33a • NPI

1245013564

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

124Q00000X

Licensed & Credentialed Dental Hygienist

Box 32 Service Location & ZIP+4

359 BROOKFIELD RD, BRIMFIELD, MA, 01010-9676

✓ 9-Digit EDI 837 ZIP+4 (01010-9676)

Practice Phone & Referral Fax

(508) 341-1599

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1245013564 (MOBILE DENTAL HYGIENE SERVICES OF WESTERN MASS, LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1245013564` (NPI-2 Organization / Facility)
Provider / Legal Name	MOBILE DENTAL HYGIENE SERVICES OF WESTERN MASS, LLC
Plain-English Specialty	Licensed & Credentialed Dental Hygienist NUCC Code: `124Q00000X` (Dental Hygienist)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	359 BROOKFIELD RD, BRIMFIELD, MA, 01010-9676
Practice Telephone / Fax	Tel: (508) 341-1599
Administrative Mailing Address	PO BOX 103, BRIMFIELD, MA, 01010-0103
Enumeration & Last Sync	Enumerated: 2023-08-18 \| CMS Record Updated: 2023-08-18
Authorized Official	MANDA DAY (Registered Dental Hygienist)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

359 BROOKFIELD RD, BRIMFIELD, MA, 01010-9676

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Plain-English Taxonomy & CMS Crosswalk (124Q00000X)

What Does Taxonomy Code 124Q00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 124Q00000X translates to:
"Licensed & Credentialed Dental Hygienist"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Dental Hygienist for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (MOBILE DENTAL HYGIENE SERVICES OF WESTERN MASS, LLC)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`124Q00000X` — Dental Hygienist Plain English: Licensed & Credentialed Dental Hygienist	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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MOBILE DENTAL HYGIENE SERVICES OF WESTERN MASS, LLC (NPI #1245013564)