Amy Portnoy, R.D.H.

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

8395 Issued in MA

Practice address

1400 Centre St
Suite 201
Newton, MA 02459-2454

Phone

(617) 965-2440

Fax

(617) 965-2423

NPI assigned

Nov 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Newton Centre Dental, Steven J. Levitt D.M.D.

  • Periodontics
  • Newton, MA
  • NPI 1417980152
  NPD (past)
• Peoplesdental, P.C.

  • General Practice Dentistry
  • Newton, MA
  • NPI 1700364866
  NPD (past)

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033280995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 CENTRE ST",
            "address_2": "SUITE 201",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024592454",
            "telephone_number": "617-965-2440",
            "fax_number": "617-965-2423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 CENTRE ST",
            "address_2": "SUITE 201",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024592454",
            "telephone_number": "617-965-2440",
            "fax_number": "617-965-2423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTNOY",
        "first_name": "AMY",
        "name_prefix": "Mrs.",
        "credential": "R.D.H.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "MA",
            "license": "8395",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MA STATE LICENSE #",
            "identifier": "8395",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nancy Levitan Poorvu, M.S.W., L.I.C.S.W.
• Andrew Popper, M.D.
• Raymond Kevin Popplewell
• Jane Marie Porter, M.D.
• Marisabel Portillo
• Ahshanti Poulard
• Alexis Poulin
• Diane Marie Poulin, RN,NP
• Nicole Poulter, PSYD
• Matthew Pouw, MD

• Dental Hygienist in Newton, MA
• Providers in Newton, MA by specialty
• Dental Hygienist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.