Organization Active NPI

Richard W. Cullen, DPM, P.C.

  • Sports Medicine Podiatrist
  • Needham, MA
National Provider Identifier
1073695888
Registry record updated Oct 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine PodiatristTaxonomy code 213ES0000X
License
1693 Issued in MA
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, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2012

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
YY7073OtherMABCBS
33606OtherMAHPHC
702718OtherMATUFTS

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.