Active NPI
Natalie Rie Inoue, DDS
- Dentist
- Boston, MA
National Provider Identifier
1114413937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN1858029
- Practice address
- 188 Longwood Ave
Boston, MA 02115-5819 - Phone
- (617) 432-1405
- NPI assigned
- Jul 4, 2018
- Last updated
- Jul 4, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | DN1858029 | MA | Primary |
Addresses
Primary practice location
188 Longwood Ave
Boston, MA 02115-5819
Mailing address
29 Wigglesworth St Apt 3
Roxbury Crossing, MA 02120-1602
Phone (310) 408-7115
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230609001701 | CA | Order and Referring Only - Dentist | 4880051663 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN1858029 | MA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530662400000",
"number": "1114413937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 WIGGLESWORTH ST APT 3",
"city": "ROXBURY CROSSING",
"state": "MA",
"postal_code": "021201602",
"telephone_number": "310-408-7115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "188 LONGWOOD AVE",
"city": "BOSTON",
"state": "MA",
"postal_code": "021155819",
"telephone_number": "617-432-1405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INOUE",
"first_name": "NATALIE",
"middle_name": "RIE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-07-04",
"last_updated": "2018-07-04",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "DN1858029",
"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 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.