Organization Active NPI

Stuparich and Nouel Dental Associates,LLP

  • Prosthodontics
  • Boston, MA
National Provider Identifier
1285807586
Registry record updated Apr 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
18313 Issued in MA
Legal business name
STUPARICH AND NOUEL DENTAL ASSOCIATES,LLP
Practice address
321 Columbus Ave Ste 1R
Boston, MA 02116-5168
Phone
(617) 437-6800
Fax
(617) 437-1900
NPI assigned
Apr 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2008

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

Authorized official

Name
Danijela Mehic
Title
Office Manager
Phone
(617) 437-6800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ProsthodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0700X 18313 MA Primary

Addresses

Primary practice location

321 Columbus Ave Ste 1R
Boston, MA 02116-5168

Mailing address

321 Columbus Ave Ste 1R
Boston, MA 02116-5168
Phone (617) 437-6800

National Provider Directory

National Provider Directory

Locations

321 Columbus Ave
Ste 1R
Boston, MA 02116
Phone (617) 437-6800

Practitioners & affiliated clinicians

Practitioners 2

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": "1207612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207612800000",
    "number": "1285807586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 COLUMBUS AVE STE 1R",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021165168",
            "telephone_number": "617-437-6800",
            "fax_number": "617-437-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 COLUMBUS AVE STE 1R",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021165168",
            "telephone_number": "617-437-6800",
            "fax_number": "617-437-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STUPARICH AND NOUEL DENTAL ASSOCIATES,LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-08",
        "last_updated": "2008-04-08",
        "status": "A",
        "authorized_official_last_name": "MEHIC",
        "authorized_official_first_name": "DANIJELA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "617-437-6800"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "MA",
            "license": "18313",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 8, 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.