Active NPI
Endodontic Practice Partners Ma PLLC
- Endodontics
- Brookline, MA
National Provider Identifier
1023687258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- Legal business name
- ENDODONTIC PRACTICE PARTNERS MA PLLC
- Practice address
- 1 Brookline PL Ste 505
Brookline, MA 02445-7277 - Phone
- (617) 735-8500
- NPI assigned
- Jun 22, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cathy Cluett
- Title
- Credentialing Coordinator
- Phone
- (315) 399-7433
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | Primary |
Addresses
Primary practice location
1 Brookline PL Ste 505
Brookline, MA 02445-7277
Mailing address
PO Box 1584
Brentwood, TN 37024-1584
Phone (615) 422-6700
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mail@nsbe.com | Direct |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624320000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1711411200000",
"number": "1023687258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1584",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370241584",
"telephone_number": "615-422-6700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 BROOKLINE PL STE 505",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024457277",
"telephone_number": "617-735-8500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ENDODONTIC PRACTICE PARTNERS MA PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-22",
"last_updated": "2024-03-26",
"certification_date": "2024-03-26",
"status": "A",
"authorized_official_last_name": "CLUETT",
"authorized_official_first_name": "CATHY",
"authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
"authorized_official_telephone_number": "315-399-7433"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Endodontics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mail@nsbe.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1 Brookline Pl Ste 505",
"city": "Brookline",
"state": "MA",
"country_code": "US",
"postal_code": "024457277",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Brookline, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 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.