Organization Active NPI

Jack B Share DDS

  • General Practice Dentistry
  • Boston, MA
National Provider Identifier
1295050094
Registry record updated Apr 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
15456 Issued in MA
Legal business name
JACK B SHARE DDS
Practice address
31 State St
Boston, MA 02109-2705
Phone
(617) 742-1350
NPI assigned
Apr 5, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2010

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

Authorized official

Name
Dr. Jack Bennet Share
Title
Chief Executive Officer
Phone
(617) 742-1350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 15456 MA Primary

Addresses

Primary practice location

31 State St
Boston, MA 02109-2705

Mailing address

31 State St
Boston, MA 02109-2705

National Provider Directory

National Provider Directory
Tax ID family
Jack B Share DDS2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

31 State St
Boston, MA 02109
Phone (617) 742-1350

NPI Registry JSON

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

{
    "created_epoch": "1270425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270425600000",
    "number": "1295050094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 STATE ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021092705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 STATE ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021092705",
            "telephone_number": "617-742-1350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACK B SHARE DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-05",
        "last_updated": "2010-04-05",
        "status": "A",
        "authorized_official_last_name": "SHARE",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "BENNET",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "617-742-1350",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "15456",
            "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 5, 2010; 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.