Organization Active NPI

Endodontic Practice Partners Ma PLLC

  • Endodontics
  • Brookline, MA
National Provider Identifier
1023687258
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
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

Updated by the provider on Mar 26, 2024

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)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 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

TypeEndpointUseAffiliation
Direct Messaging Address mail@nsbe.com Direct

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.