Organization Active NPI

Dr. Marcel Korn, Orthodontist, P.C.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Boston, MA
National Provider Identifier
1083824866
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
10337 Issued in MA
Legal business name
DR. MARCEL KORN, ORTHODONTIST, P.C.
Practice address
328 Newbury St
Boston, MA 02115-2703
Phone
(617) 536-0365
Fax
(617) 536-6277
NPI assigned
May 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Marcel Korn
Title
Orthodontist
Phone
(617) 536-0365

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 10337 MA Primary

Addresses

Primary practice location

328 Newbury St
Boston, MA 02115-2703

Mailing address

328 Newbury St
Boston, MA 02115-2703
Phone (617) 536-0365

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083824866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 NEWBURY ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021152703",
            "telephone_number": "617-536-0365",
            "fax_number": "617-536-6277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 NEWBURY ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021152703",
            "telephone_number": "617-536-0365",
            "fax_number": "617-536-6277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MARCEL KORN, ORTHODONTIST, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KORN",
        "authorized_official_first_name": "MARCEL",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "617-536-0365",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MA",
            "license": "10337",
            "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 Aug 22, 2020; 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.