Organization Active NPI

Chestnut Hill Dental

  • General Practice Dentistry
  • Chestnut Hill, MA
National Provider Identifier
1104084003
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CHESTNUT HILL DENTAL
Practice address
631A VFW Pkwy
Chestnut Hill, MA 02467-3656
Phone
(617) 327-3500
NPI assigned
May 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Richard A. Rosen, DDS
Title
Doctor
Phone
(617) 327-3500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X MA Primary

Addresses

Primary practice location

631A VFW Pkwy
Chestnut Hill, MA 02467-3656

Mailing address

631A VFW Pkwy
Chestnut Hill, MA 02467-3656

Other identifiers 3

IdentifierTypeStateIssuer
159868OtherMADR YUKO TORIGOE
903950OtherMADR ROSA CALCANO
584515OtherMADR RICHARD ROSEN

Other names 1

  • Spa at Chestnut Hill Dental Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1211932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1104084003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631A VFW PKWY",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024673656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631A VFW PKWY",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024673656",
            "telephone_number": "617-327-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESTNUT HILL DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-28",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ROSEN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "617-327-3500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR YUKO TORIGOE",
            "identifier": "159868",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR ROSA CALCANO",
            "identifier": "903950",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR RICHARD ROSEN",
            "identifier": "584515",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spa at Chestnut Hill Dental",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chestnut Hill, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.