Organization Active NPI

Smileboston Cosmetic and Implant Dentistry

  • Preferred Provider Organization
  • Brookline, MA
National Provider Identifier
1205213774
Registry record updated May 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
18722 Issued in MA
Legal business name
SMILEBOSTON COSMETIC AND IMPLANT DENTISTRY
Practice address
1180 Beacon St Ste 2B
Brookline, MA 02446-3806
Phone
(617) 277-4100
Fax
(617) 277-4100
NPI assigned
May 4, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2015

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

Authorized official

Name
Dr. Steven D Spitz, D.M.D.
Title
Prosthodontist/Owner
Phone
(617) 277-4100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 18722 MA Primary

Addresses

Primary practice location

1180 Beacon St Ste 2B
Brookline, MA 02446-3806

Mailing address

1180 Beaconstreet Suite 2B
Brookline, MA 02446
Phone (617) 277-4100

National Provider Directory

National Provider Directory

Locations

1180 Beacon St
Ste 2B
Brookline, MA 02446
Phone (617) 277-4100

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1430697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430697600000",
    "number": "1205213774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 BEACONSTREET SUITE 2B",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "02446",
            "telephone_number": "617-277-4100",
            "fax_number": "617-277-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 BEACON ST STE 2B",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024463806",
            "telephone_number": "617-277-4100",
            "fax_number": "617-277-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILEBOSTON COSMETIC AND IMPLANT DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-04",
        "last_updated": "2015-05-04",
        "status": "A",
        "authorized_official_last_name": "SPITZ",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PROSTHODONTIST/OWNER",
        "authorized_official_telephone_number": "617-277-4100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "MA",
            "license": "18722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookline, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2015; 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.