Organization Active NPI

Cummins Family Dental PC

  • General Practice Dentistry
  • Boston, MA
National Provider Identifier
1194090415
Registry record updated Mar 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22207 Issued in MA
Legal business name
CUMMINS FAMILY DENTAL PC
Practice address
166 Columbia Rd
Boston, MA 02121-3411
Phone
(617) 445-9880
Fax
(617) 445-5746
NPI assigned
Mar 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2012

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

Authorized official

Name
Michelle Cummins
Title
D.M.D.
Phone
(617) 445-9880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 22207 MA Primary

Addresses

Primary practice location

166 Columbia Rd
Boston, MA 02121-3411

Mailing address

166 Columbia Rd
Boston, MA 02121-3411
Phone (617) 445-9880

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1332201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332201600000",
    "number": "1194090415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 COLUMBIA RD",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021213411",
            "telephone_number": "617-445-9880",
            "fax_number": "617-445-5746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 COLUMBIA RD",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021213411",
            "telephone_number": "617-445-9880",
            "fax_number": "617-445-5746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUMMINS FAMILY DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-20",
        "last_updated": "2012-03-20",
        "status": "A",
        "authorized_official_last_name": "CUMMINS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "D.M.D.",
        "authorized_official_telephone_number": "617-445-9880"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "22207",
            "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 Mar 20, 2012; 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.