NPIMap

Organization Active NPI

Boylston Dental Associates

  • General Practice Dentistry
  • Boylston, MA
National Provider Identifier
1235306002
Registry record updated May 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
14415 Issued in MA
Legal business name
BOYLSTON DENTAL ASSOCIATES
Practice address
17 Main St
Boylston, MA 01505-1948
Phone
(508) 869-6388
Fax
(508) 869-2910
NPI assigned
May 12, 2008
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
John F Scanlon, DMDNPI 1922097674
Title
Owner/President
Phone
(508) 869-6388

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

Practitioners 2

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

National Provider Directory

National Provider Directory

Locations

17 Main St
Boylston, MA 01505
Phone (508) 869-6388

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 14415 MA Primary

Addresses

NPPES NPI Registry

Primary practice location

17 Main St
Boylston, MA 01505-1948

Mailing address

17 Main St
Boylston, MA 01505-1948
Phone (508) 869-6388

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 12, 2008.

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210550400000",
    "number": "1235306002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 MAIN ST",
            "city": "BOYLSTON",
            "state": "MA",
            "postal_code": "015051948",
            "telephone_number": "508-869-6388",
            "fax_number": "508-869-2910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 MAIN ST",
            "city": "BOYLSTON",
            "state": "MA",
            "postal_code": "015051948",
            "telephone_number": "508-869-6388",
            "fax_number": "508-869-2910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOYLSTON DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-12",
        "last_updated": "2008-05-12",
        "status": "A",
        "authorized_official_last_name": "SCANLON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "508-869-6388",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "14415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boylston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.

Verify at the official NPI Registry.