NPIMap

Organization Active NPI

Pioneer Dental at Newton Corner, P.C.

  • General Practice Dentistry
  • Newton, MA
National Provider Identifier
1053511782
Registry record updated Jul 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
18638 Issued in MA
Legal business name
PIONEER DENTAL AT NEWTON CORNER, P.C.
Practice address
269 Washington St
Newton, MA 02458-1612
Phone
(617) 641-0005
Fax
(617) 641-0006
NPI assigned
Jul 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2007

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

Authorized official

Name
Dr. PO-Hsi Wu, D.M.D.
Title
President
Phone
(617) 641-0005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 18638 MA Primary

Addresses

Primary practice location

269 Washington St
Newton, MA 02458-1612

Mailing address

269 Washington St
Newton, MA 02458-1612
Phone (617) 641-0005

National Provider Directory

National Provider Directory

Locations

269 Washington St
Newton, MA 02458
Phone (617) 641-0005

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": "1184889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184889600000",
    "number": "1053511782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "269 WASHINGTON ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024581612",
            "telephone_number": "617-641-0005",
            "fax_number": "617-641-0006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "269 WASHINGTON ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024581612",
            "telephone_number": "617-641-0005",
            "fax_number": "617-641-0006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER DENTAL AT NEWTON CORNER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-20",
        "last_updated": "2007-07-20",
        "status": "A",
        "authorized_official_last_name": "WU",
        "authorized_official_first_name": "PO-HSI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-641-0005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "18638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.