Active NPI
Joseph Robert Trodella, DMD
- General Practice Dentistry
- Boston, MA
National Provider Identifier
1093494569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN1860017
- Practice address
- 1601 Washington St
Boston, MA 02118 - Phone
- (617) 587-1900
- NPI assigned
- Jul 12, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN1860017 | MA | Primary |
Addresses
Primary practice location
1601 Washington St
Boston, MA 02118
Mailing address
10 Gove St
Boston, MA 02128-1920
Phone (617) 569-5800
Other practice location 1
1120 Main St
Tewksbury, MA 01876-4739
Phone (978) 851-8888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN1860017 | MA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Associates of Ebnhc | Current | Accepting new patients | |
| Tewksbury Family Dental, LLC | Past | Accepting new patients |
Locations
10 Grove St
East Boston, MA 02128
Phone (617) 569-5800
Interoperability endpoints
- jtrodella43497@direct.neighborhealth.masshiway.net
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community Health Clinic/Center
- East Boston, MA
- NPI 1255451597
-
- Dental Clinic/Center
- Tewksbury, MA
- NPI 1972792083
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731974400000",
"number": "1093494569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 GOVE ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021281920",
"telephone_number": "617-569-5800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 WASHINGTON ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "02118",
"telephone_number": "617-587-1900"
}
],
"practiceLocations": [
{
"address_1": "1120 Main St",
"address_purpose": "LOCATION",
"city": "Tewksbury",
"state": "MA",
"postal_code": "018764739",
"country_code": "US",
"telephone_number": "978-851-8888",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TRODELLA",
"first_name": "JOSEPH",
"middle_name": "ROBERT",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-07-12",
"last_updated": "2024-11-19",
"certification_date": "2024-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MA",
"license": "DN1860017",
"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 Nov 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.