NPIMap

Organization Active NPI

Hugo & Tate PC

  • Dental Clinic/Center
  • Roxbury, MA
National Provider Identifier
1174243042
Registry record updated Mar 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
HUGO & TATE PC
Practice address
156 Dudley St
Roxbury, MA 02119-3232
Phone
(617) 445-7050
NPI assigned
Aug 31, 2022
Last updated
Mar 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2023

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

Authorized official

Name
Dr. Eung Jun Im, DMDNPI 1366018657
Title
President
Phone
(857) 231-0200

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 NU Primary

Addresses

Primary practice location

156 Dudley St
Roxbury, MA 02119-3232

Mailing address

396 North Rd
Bedford, MA 01730-1016
Phone (857) 231-0200

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1661904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679875200000",
    "number": "1174243042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "396 NORTH RD",
            "city": "BEDFORD",
            "state": "MA",
            "postal_code": "017301016",
            "telephone_number": "857-231-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 DUDLEY ST",
            "city": "ROXBURY",
            "state": "MA",
            "postal_code": "021193232",
            "telephone_number": "617-445-7050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUGO & TATE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-31",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A",
        "authorized_official_last_name": "IM",
        "authorized_official_first_name": "EUNG JUN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "857-231-0200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roxbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.

Verify at the official NPI Registry.