Tyler Delaurentis

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN10000308 Issued in MA

Practice address

20 W 5TH St Apt 6D
Boston, MA 02127-3351

Phone

(203) 909-1892

NPI assigned

Mar 6, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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.

• Delaurentis Dental PLLC

  • Dental Clinic/Center
  • Farmington, CT
  • NPI 1558295147
  NPD Authorized official

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

{
    "created_epoch": "1678060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1013617323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 W 5TH ST APT 6D",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021273351",
            "telephone_number": "203-909-1892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 W 5TH ST APT 6D",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021273351",
            "telephone_number": "203-909-1892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELAURENTIS",
        "first_name": "TYLER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-06",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN10000308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Delano, LCSW
• Sophia L. Delano, MD, MPP
• Ralph Delatorre, MD
• Laurie Christine Delatour
• Dana Delaunay, MA BCBA LABA
• Eleni Delavogia
• Lawton Charles Delay
• Tom L Delbanco, M.D.
• Marcela G Delcarmen, MD
• Christina Nicole Delcea

• General Practice Dentistry in Boston, MA
• Providers in Boston, MA by specialty
• General Practice Dentistry in Massachusetts

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