Organization Active NPI

Jade Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Boston, MA
National Provider Identifier
1184265258
Registry record updated Sep 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
JADE ORTHODONTICS
Practice address
30 Kneeland St, Suite 301
Boston, MA 02111
Phone
(617) 272-6553
NPI assigned
Sep 30, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2023

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

Authorized official

Name
Jing Guo, DMD
Title
Member
Phone
(617) 209-7782

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

30 Kneeland St, Suite 301
Boston, MA 02111

Mailing address

30 Kneeland St # 301
Boston, MA 02111-1505
Phone (617) 209-7782

National Provider Directory

National Provider Directory

Locations

30 Kneeland St
Ste 301
Boston, MA 02111
Phone (617) 272-6553

NPI Registry JSON

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

{
    "created_epoch": "1569801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694822400000",
    "number": "1184265258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 KNEELAND ST # 301",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021111505",
            "telephone_number": "617-209-7782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 KNEELAND ST, SUITE 301",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02111",
            "telephone_number": "617-272-6553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JADE ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-30",
        "last_updated": "2023-09-16",
        "certification_date": "2023-09-16",
        "status": "A",
        "authorized_official_last_name": "GUO",
        "authorized_official_first_name": "JING",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "617-209-7782",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "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 Sep 16, 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.