Zachary James Kofos, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN1858787 Issued in MA

Practice address

300 Crown Colony Dr, Ste 205
Boston, MA 02115-5819

Phone

(617) 982-2501

NPI assigned

Jun 22, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Greater Boston Smiles Pediatric Dentistry PLLC

  • Pediatric Dentistry
  • Quincy, MA
  • NPI 1225725286
  NPD Authorized official
• Quincy Family Orthodontics PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Quincy, MA
  • NPI 1124715180
  NPD Authorized official
• Pawtucket Orthodontics LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Pawtucket, RI
  • NPI 1023881570
  NPD (past) Authorized official

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

{
    "created_epoch": "1592784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1013533397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 DEVONSHIRE ST UNIT 4501",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021102172",
            "telephone_number": "617-678-3125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CROWN COLONY DR, STE 205",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021155819",
            "telephone_number": "617-982-2501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "123 School St Ste 3",
            "address_purpose": "LOCATION",
            "city": "Pawtucket",
            "state": "RI",
            "postal_code": "028604270",
            "country_code": "US",
            "telephone_number": "401-728-0150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOFOS",
        "first_name": "ZACHARY",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-22",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1858787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frederick Carl Koerner, ME
• Taylor Koerner, MD
• Margaret Koester
• Kathryn Rose Koestner, NP
• Alec John Koffer, MD
• Joyleen Koga
• Laura Kogelman, MD
• Gabrielle Eva Kogon, RN, BSN
• Angela Su-Mei Koh, M.B.B.S., M.R.C.P
• Daniel Jehyun Koh

• Dentist in Boston, MA
• Providers in Boston, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; 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.