NPIMap

Organization Active NPI

Trustees of Boston University

  • Oral and Maxillofacial Surgery (Dentist)
  • Boston, MA
National Provider Identifier
1053757245
Registry record updated May 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
TRUSTEES OF BOSTON UNIVERSITY
Practice address
110 Francis St
Boston, MA 02215-5501
Phone
(617) 638-4350
Fax
(617) 638-4365
NPI assigned
May 15, 2013
Organization subpart
Yes
Parent organization
TRUSTEES OF BOSTON UNIVERSITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 15, 2013

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

Authorized official

Name
Jeffrey W Hutter
Title
Dean
Phone
(617) 638-4780

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

110 Francis St
Boston, MA 02215-5501

Mailing address

100 E Newton St
Suite G407
Boston, MA 02118-2308
Phone (617) 638-4350

Other identifiers 1

IdentifierTypeStateIssuer
110009488CMedicaidMA

Other names 1

  • BU ORAL SURGERY GROUP PRACTICE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Boston University Henry M Goldman School of Dental Medicine22 organizations share this tax ID, including this one
Part of
Boston University Henry M Goldman School of Dental Medicine

Other organizations with this tax ID 21

Organizations that report the same tax identification number in the National Provider Directory.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1368576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368576000000",
    "number": "1053757245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E NEWTON ST",
            "address_2": "SUITE G407",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182308",
            "telephone_number": "617-638-4350",
            "fax_number": "617-638-4365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 FRANCIS ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022155501",
            "telephone_number": "617-638-4350",
            "fax_number": "617-638-4365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUSTEES OF BOSTON UNIVERSITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRUSTEES OF BOSTON UNIVERSITY",
        "enumeration_date": "2013-05-15",
        "last_updated": "2013-05-15",
        "status": "A",
        "authorized_official_last_name": "HUTTER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "DEAN",
        "authorized_official_telephone_number": "617-638-4780"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110009488C",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BU ORAL SURGERY GROUP PRACTICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2013; 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.