Active NPI
Maria Papageorge, DMD
- Oral and Maxillofacial Surgery (Dentist)
- Boston, MA
National Provider Identifier
1265582001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 15124
- Practice address
- 1 Kneeland St
Boston, MA 02111-1527 - Phone
- (617) 636-6515
- Fax
- (617) 636-6809
- NPI assigned
- Jan 12, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 15124 | MA | Primary |
Addresses
Primary practice location
1 Kneeland St
Boston, MA 02111-1527
Mailing address
1 Kneeland St
Boston, MA 02111-1527
Phone (617) 636-6515
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 015124 | Other | MA | TUFTS HEALTH(WEBMD) |
| 66230 | Other | MA | CIGNA(WEBMD) |
| 0264679 | Medicaid | MA | |
| X05363 | Other | MA | BCBS(WEBMD) |
| 0013332 | Other | MA | NEIGHBORHOOD HEALTH |
| 16127NEMC | Other | MA | HARVARD PILGRIM(WEBMD) |
| 4594700-0004501019 | Other | MA | AETNA (WEBMD) |
| 100969 | Other | MA | DELTA DENTAL PROVIDER # |
| X05363 | Other | MA | BCBS DENTAL |
| 021925 | Other | MA | BAY STATE PROVIDER NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15124 | MA | MD | Geriatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trustees of Tufts College | Current | Accepting new patients | |
| Trustees of Tufts College | Current | Accepting new patients | |
| Trustees of Tufts College | Current | Accepting new patients |
Locations
1 Kneeland St
Boston, MA 02111
Phone (617) 636-6515
Interoperability endpoints
- mpapageorge29468@tuftsmedicine.direct-ci.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dental Clinic/Center
- Boston, MA
- NPI 1356559371
-
- Dental Clinic/Center
- Boston, MA
- NPI 1457636029
-
- Dental Clinic/Center
- Boston, MA
- NPI 1790955318
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1265582001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 KNEELAND ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021111527",
"telephone_number": "617-636-6515",
"fax_number": "617-636-6809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 KNEELAND ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021111527",
"telephone_number": "617-636-6515",
"fax_number": "617-636-6809"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAPAGEORGE",
"first_name": "MARIA",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-12",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "MA",
"license": "15124",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH(WEBMD)",
"identifier": "015124",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA(WEBMD)",
"identifier": "66230",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0264679",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS(WEBMD)",
"identifier": "X05363",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH",
"identifier": "0013332",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM(WEBMD)",
"identifier": "16127NEMC",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA (WEBMD)",
"identifier": "4594700-0004501019",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DELTA DENTAL PROVIDER #",
"identifier": "100969",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS DENTAL",
"identifier": "X05363",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BAY STATE PROVIDER NUMBER",
"identifier": "021925",
"state": "MA"
}
],
"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 Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.