NPIMap

Organization Active NPI

Trustees of Boston University

  • General Practice Dentistry
  • Boston, MA
National Provider Identifier
1013152545
Registry record updated Dec 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4954 Issued in MA
Legal business name
TRUSTEES OF BOSTON UNIVERSITY
Doing business as
Boston University Goldman School of Dental Medicine
Practice address
100 E Newton St
Room G401
Boston, MA 02118-2308
Phone
(617) 638-4993
NPI assigned
Dec 12, 2008
Organization subpart
Yes
Parent organization
TRUSTEES OF BOSTON UNIVERSITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 12, 2008

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

Authorized official

Name
Dr. Jeffrey W Hutter, DMD, MED
Title
Professor and Dean
Phone
(617) 638-4780

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 4954 MA Primary

Addresses

Primary practice location

100 E Newton St
Room G401
Boston, MA 02118-2308

Mailing address

100 E Newton St
Room G401
Boston, MA 02118-2308
Phone (617) 638-4993

Other names 1

  • Boston University Goldman School of Dental Medicine Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Boston University Henry M Goldman School of Dental Medicine22 organizations share this tax ID, including this one
Part of
Boston University Henry M Goldman School of Dental Medicine

Other organizations with this tax ID 21

Organizations that report the same tax identification number in the National Provider Directory.

View all 21

Locations

100 East Newton St
Rm G401
Boston, MA 02118
Phone (617) 638-4705

NPI Registry JSON

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

{
    "created_epoch": "1229040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229040000000",
    "number": "1013152545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E NEWTON ST",
            "address_2": "ROOM G401",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182308",
            "telephone_number": "617-638-4993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E NEWTON ST",
            "address_2": "ROOM G401",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182308",
            "telephone_number": "617-638-4993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUSTEES OF BOSTON UNIVERSITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRUSTEES OF BOSTON UNIVERSITY",
        "enumeration_date": "2008-12-12",
        "last_updated": "2008-12-12",
        "status": "A",
        "authorized_official_last_name": "HUTTER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PROFESSOR AND DEAN",
        "authorized_official_telephone_number": "617-638-4780",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MED"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "4954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boston University Goldman School of Dental Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2008; 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.