Active NPI
Beacon Dental Center, PLLC
- Dental Clinic/Center
- Brookline, MA
National Provider Identifier
1164295978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- BEACON DENTAL CENTER, PLLC
- Practice address
- 1842 Beacon St Ste 206
Brookline, MA 02445-1922 - Phone
- (617) 734-5868
- NPI assigned
- Nov 2, 2023
- Last updated
- Nov 2, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Richard Shen, DMD
- Title
- Dentist/Owner
- Phone
- (617) 734-5868
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
1842 Beacon St Ste 206
Brookline, MA 02445-1922
Mailing address
1842 Beacon St Ste 206
Brookline, MA 02445-1922
Phone (617) 734-5868
National Provider Directory
National Provider DirectoryLocations
1842 Beacon St
Ste 206
Brookline, MA 02445
Phone (617) 734-5868
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- Brookline, MA
- NPI 1114669223
-
- General Practice Dentistry
- Brookline, MA
- NPI 1235330465
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698883200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1698883200000",
"number": "1164295978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1842 BEACON ST STE 206",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024451922",
"telephone_number": "617-734-5868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1842 BEACON ST STE 206",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024451922",
"telephone_number": "617-734-5868"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEACON DENTAL CENTER, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-02",
"last_updated": "2023-11-02",
"certification_date": "2023-11-02",
"status": "A",
"authorized_official_last_name": "SHEN",
"authorized_official_first_name": "RICHARD",
"authorized_official_title_or_position": "DENTIST/OWNER",
"authorized_official_telephone_number": "617-734-5868",
"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": []
}
Other providers in Brookline, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.