NPIMap

Organization Active NPI

Pure Dental PC

  • Dentist
  • Jamaica Plain, MA
National Provider Identifier
1225326416
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
PURE DENTAL PC
Practice address
3531 Washington St Ste 102
Jamaica Plain, MA 02130-5241
Phone
(617) 524-7860
NPI assigned
Jul 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Joseph A Nelson, DMDNPI 1437147501
Title
Owner
Phone
(617) 524-7860

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X MA Primary

Addresses

Primary practice location

3531 Washington St Ste 102
Jamaica Plain, MA 02130-5241

Mailing address

3531 Washington St Ste 102
Jamaica Plain, MA 02130-5241
Phone (617) 524-7860

National Provider Directory

National Provider Directory

Locations

3531 Washington St
Ste 102
Jamaica Plain, MA 02130
Phone (617) 524-7860

670 Centre St
Jamaica Plain, MA 02130
Phone (617) 524-7860

Practitioners & affiliated clinicians

Practitioners 5

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": "1311206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1225326416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3531 WASHINGTON ST STE 102",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021305241",
            "telephone_number": "617-524-7860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3531 WASHINGTON ST STE 102",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021305241",
            "telephone_number": "617-524-7860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-21",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-524-7860",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica Plain, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.