Organization Active NPI

Boston Brightsmile LLC

  • Dental Clinic/Center
  • Wakefield, MA
National Provider Identifier
1104615053
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
BOSTON BRIGHTSMILE LLC
Practice address
15 W Water St
Wakefield, MA 01880-2926
Phone
(857) 361-2023
NPI assigned
May 6, 2025
Organization subpart
Yes
Parent organization
BOSTON BRIGHTSMILE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 6, 2025

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

Authorized official

Name
Dr. Ying Li, DMDNPI 1104593243
Title
Manager
Phone
(857) 361-2023

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

15 W Water St
Wakefield, MA 01880-2926

Mailing address

14 Marion St Apt 24
Brookline, MA 02446-4430
Phone (857) 361-2023

Other names 1

  • ARUS Family Dental Doing business as

National Provider Directory

National Provider Directory
Part of
Boston Brightsmile LLC

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1746489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746489600000",
    "number": "1104615053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 MARION ST APT 24",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024464430",
            "telephone_number": "857-361-2023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 W WATER ST",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "018802926",
            "telephone_number": "857-361-2023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSTON BRIGHTSMILE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BOSTON BRIGHTSMILE LLC",
        "enumeration_date": "2025-05-06",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "YING",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "857-361-2023",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ARUS Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wakefield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2025; 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.