Nedg - Back Bay PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

NEDG - BACK BAY PLLC

Doing business as

New England Dental Group-Back Bay

Practice address

811 Boylston St Ste 3
Boston, MA 02116-2679

Phone

(617) 267-3993

NPI assigned

Jun 29, 2022

Organization subpart

No

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

Authorized official

Name

Alicia Laclair

Title

Clinical Systems Director

Phone

(508) 281-6464

Specialties & licenses 2

Addresses

Other names 1

• New England Dental Group-Back Bay Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1656460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656460800000",
    "number": "1265164081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "257 TURNPIKE RD STE 110",
            "city": "SOUTHBOROUGH",
            "state": "MA",
            "postal_code": "017721791",
            "telephone_number": "508-281-6464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 BOYLSTON ST STE 3",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021162679",
            "telephone_number": "617-267-3993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEDG - BACK BAY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-29",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A",
        "authorized_official_last_name": "LACLAIR",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "CLINICAL SYSTEMS DIRECTOR",
        "authorized_official_telephone_number": "508-281-6464"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "backbay@newenglanddentalgroup.com",
            "affiliation": "N",
            "endpointDescription": "office email",
            "address_1": "811 Boylston St Ste 3",
            "city": "Boston",
            "state": "MA",
            "country_code": "US",
            "postal_code": "021162679",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "New England Dental Group-Back Bay",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Neb Radiology, P. C.
• Tina Nebhnani, PT
• Anano Nebieridze, M.D.
• Simona Nedelcu, MD, PHD
• Zoran S. Nedeljkovic, M.D.
• Nedg Boston
• Joice Sofia Nedio Da Silva, RN
• Sotirios Nedios, MD
• Catherine Maria Nee, NP
• Judy Whey-Lin Nee

• General Practice Dentistry in Boston, MA
• Providers in Boston, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.