Metropolitan Dental Center

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

17622 Issued in MA

Legal business name

METROPOLITAN DENTAL CENTER

Practice address

1417 Dorchester Ave
Dorchester, MA 02122-2915

Phone

(617) 929-0600

NPI assigned

Apr 16, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Christos Koumoutseas, DMDNPI 1487774634

Title

Dentist/ Owner

Phone

(617) 929-0600

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Christos Koumoutseas

  • General Practice Dentistry
  • Boston, MA
  • NPI 1487774634
  NPD (past) Authorized official
• Xuan Duong, DMD

  • General Practice Dentistry
  • Dorchester, MA
  • NPI 1134378656
  NPD (past)

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

{
    "created_epoch": "1239840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239840000000",
    "number": "1154564490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1417 DORCHESTER AVE",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021222915",
            "telephone_number": "617-929-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 DORCHESTER AVE",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021222915",
            "telephone_number": "617-929-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROPOLITAN DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-16",
        "last_updated": "2009-04-16",
        "status": "A",
        "authorized_official_last_name": "KOUMOUTSEAS",
        "authorized_official_first_name": "CHRISTOS",
        "authorized_official_title_or_position": "DENTIST/ OWNER",
        "authorized_official_telephone_number": "617-929-0600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "17622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0277983",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Terrance Mercer
• Karin Mereciano, RN, BSN
• Sarah L Merin, LCSW
• Grier H Merwin, M.D.
• Metro Health Foundation of Massachusetts, Inc.
• Michael P Folan, DMD, P.C.
• Llaquelin Miguel
• Mike Izzo Therapy LLC
• Adeline Millar, M.ED, CAGS
• Abigail Miller

• General Practice Dentistry in Dorchester, MA
• Providers in Dorchester, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2009; 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.