NPIMap

Organization Active NPI

Belmont Prosthodontics

  • Prosthodontics
  • Belmont, MA
National Provider Identifier
1184084691
Registry record updated Feb 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
Legal business name
BELMONT PROSTHODONTICS
Practice address
385 Concord Ave Ste 100
Belmont, MA 02478-3037
Phone
(617) 489-1470
Fax
(617) 489-4908
NPI assigned
Feb 25, 2016
Last updated
Feb 25, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2016

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

Authorized official

Name
Dr. John Chang, DMD
Title
Owner
Phone
(617) 489-1470

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X MA
Periodontics 1223P0300X MA
Prosthodontics 1223P0700X MA Primary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X MA

Addresses

Primary practice location

385 Concord Ave Ste 100
Belmont, MA 02478-3037

Mailing address

385 Concord Ave Ste 100
Belmont, MA 02478-3037
Phone (617) 489-1470

Other identifiers 1

IdentifierTypeStateIssuer
1821151853OtherMANPI

Other names 1

  • Dental Restorative Group @ Belmont Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1456358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456358400000",
    "number": "1184084691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 CONCORD AVE STE 100",
            "city": "BELMONT",
            "state": "MA",
            "postal_code": "024783037",
            "telephone_number": "617-489-1470",
            "fax_number": "617-489-4908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 CONCORD AVE STE 100",
            "city": "BELMONT",
            "state": "MA",
            "postal_code": "024783037",
            "telephone_number": "617-489-1470",
            "fax_number": "617-489-4908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELMONT PROSTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-25",
        "last_updated": "2016-02-25",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-489-1470",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MA",
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "MA",
            "license": null,
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1821151853",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Restorative Group @ Belmont",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Belmont, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2016; 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.