NPIMap

Organization Active NPI

Ace Dental Boston

  • General Practice Dentistry
  • Hyde Park, MA
National Provider Identifier
1033567144
Registry record updated Oct 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN1856147 Issued in MA
Legal business name
ACE DENTAL BOSTON
Practice address
1138 River St
Hyde Park, MA 02136-2970
Phone
(617) 361-5020
NPI assigned
May 31, 2016
Last updated
Oct 5, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2016

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

Authorized official

Name
Dr. Shawn Kim, DDSNPI 1316227499
Title
President
Phone
(617) 361-5020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN1856147 MA Primary

Addresses

Primary practice location

1138 River St
Hyde Park, MA 02136-2970

Mailing address

1138 River St
Hyde Park, MA 02136-2970
Phone (617) 361-5020

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1464652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475625600000",
    "number": "1033567144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1138 RIVER ST",
            "city": "HYDE PARK",
            "state": "MA",
            "postal_code": "021362970",
            "telephone_number": "617-361-5020",
            "fax_number": "617-517-9161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1138 RIVER ST",
            "city": "HYDE PARK",
            "state": "MA",
            "postal_code": "021362970",
            "telephone_number": "617-361-5020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACE DENTAL BOSTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-31",
        "last_updated": "2016-10-05",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-361-5020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1856147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyde Park, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2016; 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.