Organization Active NPI

South End Dental Associates

  • General Practice Dentistry
  • Boston, MA
National Provider Identifier
1124313622
Registry record updated Jun 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
20526 Issued in MA
Legal business name
SOUTH END DENTAL ASSOCIATES
Practice address
540 Tremont St
Suite 7
Boston, MA 02116-6339
Phone
(617) 357-4943
Fax
(617) 412-4890
NPI assigned
Jun 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2011

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

Authorized official

Name
Dr. James Stephen Morrison, D.M.D.NPI 1043355829
Title
Owner
Phone
(617) 357-4943

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
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 20526 MA Primary

Addresses

Primary practice location

540 Tremont St
Suite 7
Boston, MA 02116-6339

Mailing address

540 Tremont St
Suite 7
Boston, MA 02116-6339
Phone (617) 357-4943

National Provider Directory

National Provider Directory

Locations

540 Tremont St
Ste 7
Boston, MA 02116
Phone (617) 357-4943

Practitioners & affiliated clinicians

Practitioners 2

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": "1307923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307923200000",
    "number": "1124313622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 TREMONT ST",
            "address_2": "SUITE 7",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021166339",
            "telephone_number": "617-357-4943",
            "fax_number": "617-412-4890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 TREMONT ST",
            "address_2": "SUITE 7",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021166339",
            "telephone_number": "617-357-4943",
            "fax_number": "617-412-4890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH END DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-13",
        "last_updated": "2011-06-13",
        "status": "A",
        "authorized_official_last_name": "MORRISON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-357-4943",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "20526",
            "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 Jun 13, 2011; 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.