Active NPI
Olympia Karacosta, D.M.D.
- General Practice Dentistry
- Boston, MA
National Provider Identifier
1184876013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 21930
- Practice address
- 50 Staniford St
Suite 303
Boston, MA 02114-2517 - Phone
- (617) 523-4555
- Fax
- (617) 227-2767
- NPI assigned
- Oct 22, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 21930 | MA | Primary |
Addresses
Primary practice location
50 Staniford St
Suite 303
Boston, MA 02114-2517
Mailing address
50 Staniford St
Suite 303
Boston, MA 02114-2517
Phone (617) 523-4555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21930 | MA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224633600000",
"number": "1184876013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 STANIFORD ST",
"address_2": "SUITE 303",
"city": "BOSTON",
"state": "MA",
"postal_code": "021142517",
"telephone_number": "617-523-4555",
"fax_number": "617-227-2767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 STANIFORD ST",
"address_2": "SUITE 303",
"city": "BOSTON",
"state": "MA",
"postal_code": "021142517",
"telephone_number": "617-523-4555",
"fax_number": "617-227-2767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KARACOSTA",
"first_name": "OLYMPIA",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-22",
"last_updated": "2008-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MA",
"license": "21930",
"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 Oct 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.