NPIMap

Organization Active NPI

Progressive Dentistry

  • Dental Clinic/Center
  • Brookline, MA
National Provider Identifier
1073756060
Registry record updated Apr 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
19257 Issued in MA
Legal business name
PROGRESSIVE DENTISTRY
Practice address
1170 Beacon St
Suite 110
Brookline, MA 02446-3963
Phone
(617) 383-6593
Fax
(617) 383-6595
NPI assigned
Apr 7, 2009
Last updated
Apr 7, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2009

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

Authorized official

Name
Dr. Sandhya Goli, D.M.D
Title
Owner/Dentist
Phone
(617) 776-5550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 19257 MA Primary

Addresses

Primary practice location

1170 Beacon St
Suite 110
Brookline, MA 02446-3963

Mailing address

1170 Beacon St
Suite 110
Brookline, MA 02446-3963
Phone (617) 383-6593

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1239062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239062400000",
    "number": "1073756060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1170 BEACON ST",
            "address_2": "SUITE 110",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024463963",
            "telephone_number": "617-383-6593",
            "fax_number": "617-383-6595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 BEACON ST",
            "address_2": "SUITE 110",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024463963",
            "telephone_number": "617-383-6593",
            "fax_number": "617-383-6595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-07",
        "last_updated": "2009-04-07",
        "status": "A",
        "authorized_official_last_name": "GOLI",
        "authorized_official_first_name": "SANDHYA",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "617-776-5550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MA",
            "license": "19257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookline, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2009; 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.