NPIMap

Organization Active NPI

Tufts University School of Dental Medicine

  • Dentist
  • Boston, MA
National Provider Identifier
1104233634
Registry record updated Jul 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DF10975 Issued in MA
Legal business name
TUFTS UNIVERSITY SCHOOL OF DENTAL MEDICINE
Practice address
One Kneeland St Room 224
Tufts Dental School
Boston, MA 02111
Phone
(407) 421-4607
NPI assigned
Jul 16, 2014
Organization subpart
Yes
Parent organization
TRUSTESS OF TUFTS UNIVERSITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 16, 2014

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

Authorized official

Name
Ala Omar Ali, B.D.S., M.SC
Title
Instructor
Phone
(407) 421-4607

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X DF10975 MA Primary

Addresses

Primary practice location

One Kneeland St Room 224
Tufts Dental School
Boston, MA 02111

Mailing address

1 Kneeland St # 224
Boston, MA 02111-1527
Phone (407) 421-4607

National Provider Directory

National Provider Directory
Part of
Tufts University Lab

Locations

1 Kneeland St
Rm 224
Boston, MA 02111
Phone (407) 421-4607

1 Kneeland St
#224
Boston, MA 02111

NPI Registry JSON

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

{
    "created_epoch": "1405468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405468800000",
    "number": "1104233634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 KNEELAND ST # 224",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021111527",
            "telephone_number": "407-421-4607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE KNEELAND ST ROOM 224",
            "address_2": "TUFTS DENTAL SCHOOL",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02111",
            "telephone_number": "407-421-4607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUFTS UNIVERSITY SCHOOL OF DENTAL MEDICINE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRUSTESS OF TUFTS UNIVERSITY",
        "enumeration_date": "2014-07-16",
        "last_updated": "2014-07-16",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "ALA",
        "authorized_official_middle_name": "OMAR",
        "authorized_official_title_or_position": "INSTRUCTOR",
        "authorized_official_telephone_number": "407-421-4607",
        "authorized_official_credential": "B.D.S., M.SC"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MA",
            "license": "DF10975",
            "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 Jul 16, 2014; 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.