DPB Charles River, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DN20823 Issued in MA

Legal business name

DPB CHARLES RIVER, LLC

Doing business as

Dental Partners of Boston at Charles River

Practice address

50 Staniford St
303
Boston, MA 02114-2517

Phone

(617) 523-4555

NPI assigned

Mar 21, 2017

Organization subpart

Yes

Parent organization

GUZMAN DENTAL PARTNERS OF BOSTON, PLLCAs reported in NPPES

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

Authorized official

Name

Dr. Sergio A Guzman, DMD MSD

Title

Managing Member

Phone

(617) 523-4555

Specialties & licenses 1

Addresses

Other names 1

• Dental Partners of Boston at Charles River Doing business as

Part of

Guzman Dental Partners of Boston PLLC

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Guzman Dental Partners of Boston, PLLC

  • Dentist
  • Boston, MA
  • NPI 1235440108
  NPPES parent name

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

{
    "created_epoch": "1490054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490054400000",
    "number": "1043741143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 STANIFORD ST",
            "address_2": "303",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142517",
            "telephone_number": "617-523-4555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 STANIFORD ST",
            "address_2": "303",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142517",
            "telephone_number": "617-523-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DPB CHARLES RIVER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GUZMAN DENTAL PARTNERS OF BOSTON, PLLC",
        "enumeration_date": "2017-03-21",
        "last_updated": "2017-03-21",
        "status": "A",
        "authorized_official_last_name": "GUZMAN",
        "authorized_official_first_name": "SERGIO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "617-523-4555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD MSD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MA",
            "license": "DN20823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Partners of Boston at Charles River",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert L Doyle, MD
• Thomas Doyle
• Thomas John Doyle, FNP
• Tracy Jennifer Doyle, M.D.
• Jennifer Doyschen
• DPB Fort Point, LLC
• Dr Arnold Zide
• Dr Dan Greif
• Dr Jodi Coochise LLC
• Dr Marshaun Glover LLC

• Dental Clinic/Center in Boston, MA
• Providers in Boston, MA by specialty
• Dental Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2017; 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.