Organization Active NPI

Dental Specialists of Boston PC

  • Prosthodontics
  • Boston, MA
National Provider Identifier
1184148918
Registry record updated Aug 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
D21076 Issued in MA
Legal business name
DENTAL SPECIALISTS OF BOSTON PC
Practice address
396 Commonwealth Avenue
Ste 2
Boston, MA 02215
Phone
(617) 207-0000
NPI assigned
Aug 2, 2017
Last updated
Aug 2, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2017

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

Authorized official

Name
Irays Santa Maria, DMD
Title
President
Phone
(617) 207-0000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X D21076 MA Primary

Addresses

Primary practice location

396 Commonwealth Avenue
Ste 2
Boston, MA 02215

Mailing address

396 Commonwealth Avenue
Ste 2
Boston, MA 02215
Phone (617) 207-0000

National Provider Directory

National Provider Directory

Locations

396 Commonwealth Ave
Ste 2
Boston, MA 02215
Phone (617) 207-0000

NPI Registry JSON

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

{
    "created_epoch": "1501632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501632000000",
    "number": "1184148918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "396 COMMONWEALTH AVENUE",
            "address_2": "STE 2",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02215",
            "telephone_number": "617-207-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "396 COMMONWEALTH AVENUE",
            "address_2": "STE 2",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02215",
            "telephone_number": "617-207-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL SPECIALISTS OF BOSTON PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-02",
        "last_updated": "2017-08-02",
        "status": "A",
        "authorized_official_last_name": "SANTA MARIA",
        "authorized_official_first_name": "IRAYS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-207-0000",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "MA",
            "license": "D21076",
            "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 Aug 2, 2017; 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.