Organization Active NPI

Otsubo Shika, PLLC

  • Dental Clinic/Center
  • Boston, MA
National Provider Identifier
1083486658
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
OTSUBO SHIKA, PLLC
Practice address
46 Farnsworth St
Boston, MA 02210-1211
Phone
(617) 802-6888
NPI assigned
Oct 26, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

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

Authorized official

Name
Yuko Otsubo, DMD
Title
Member
Phone
(857) 294-5497

Specialties & licenses 1

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

Addresses

Primary practice location

46 Farnsworth St
Boston, MA 02210-1211

Mailing address

1400 Centre St Ste 103
Newton Center, MA 02459-2414
Phone (857) 294-5497

National Provider Directory

National Provider Directory

Locations

1400 Centre St
Ste 103
Newton Centre, MA 02459
Phone (617) 964-0063

NPI Registry JSON

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

{
    "created_epoch": "1698278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698278400000",
    "number": "1083486658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 CENTRE ST STE 103",
            "city": "NEWTON CENTER",
            "state": "MA",
            "postal_code": "024592414",
            "telephone_number": "857-294-5497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 FARNSWORTH ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022101211",
            "telephone_number": "617-802-6888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTSUBO SHIKA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-26",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A",
        "authorized_official_last_name": "OTSUBO",
        "authorized_official_first_name": "YUKO",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "857-294-5497",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 26, 2023; 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.