Active NPI
Richard W. Cullen, DPM, P.C.
- Sports Medicine Podiatrist
- Needham, MA
National Provider Identifier
1073695888
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine Podiatrist
- License
- 1693
- Legal business name
- RICHARD W. CULLEN, DPM, P.C.
- Practice address
- 300 Chestnut St
Needham, MA 02492-2497 - Phone
- (781) 444-2496
- Fax
- (781) 444-4961
- NPI assigned
- Oct 20, 2006
- Last updated
- Oct 30, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Diane Cullen
- Title
- Manager
- Phone
- (781) 444-7137
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine Podiatrist | 213ES0000X | 1693 | MA | Primary |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 1693 | MA |
Addresses
Primary practice location
300 Chestnut St
Needham, MA 02492-2497
Mailing address
300 Chestnut St
Suite 500
Needham, MA 02492-2497
Phone (781) 444-7137
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| YY7073 | Other | MA | BCBS |
| 33606 | Other | MA | HPHC |
| 702718 | Other | MA | TUFTS |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1351555200000",
"number": "1073695888",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 CHESTNUT ST",
"address_2": "SUITE 500",
"city": "NEEDHAM",
"state": "MA",
"postal_code": "024922497",
"telephone_number": "781-444-7137",
"fax_number": "781-444-4961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 CHESTNUT ST",
"city": "NEEDHAM",
"state": "MA",
"postal_code": "024922497",
"telephone_number": "781-444-2496",
"fax_number": "781-444-4961"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RICHARD W. CULLEN, DPM, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-20",
"last_updated": "2012-10-30",
"status": "A",
"authorized_official_last_name": "CULLEN",
"authorized_official_first_name": "DIANE",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "781-444-7137"
},
"taxonomies": [
{
"code": "213ES0000X",
"taxonomy_group": "",
"desc": "Podiatrist, Sports Medicine",
"state": "MA",
"license": "1693",
"primary": true
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "MA",
"license": "1693",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "YY7073",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HPHC",
"identifier": "33606",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "702718",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Needham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.