Individual provider Active NPI

Mark J Finkelstein, D.D.S.

  • General Practice Dentistry
  • Newton, MA
National Provider Identifier
1053591545
Registry record updated Dec 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
15676 Issued in MA
Practice address
345 Boylston St
Suite101
Newton, MA 02459-2863
Phone
(617) 244-1721
NPI assigned
Nov 13, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 15676 MA Primary

Addresses

Primary practice location

345 Boylston St
Suite101
Newton, MA 02459-2863

Mailing address

345 Boylston St
Suite101
Newton, MA 02459-2863
Phone (617) 244-1721

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200330000656 MA Order and Referring Only - DentistPractitioner - Dentist 0446689301

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15676MAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Newton Dental, PLLC PastSince Nov 17, 2019 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576195200000",
    "number": "1053591545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 BOYLSTON ST",
            "address_2": "SUITE101",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024592863",
            "telephone_number": "617-244-1721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 BOYLSTON ST",
            "address_2": "SUITE101",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024592863",
            "telephone_number": "617-244-1721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINKELSTEIN",
        "first_name": "MARK",
        "middle_name": "J",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-13",
        "last_updated": "2019-12-13",
        "certification_date": "2019-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "15676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, MA

Sources for this page

Verify at the official NPI Registry.