NPIMap

Organization Active NPI

Mission Hill Dental Services

  • Prosthodontics
  • Boston, MA
National Provider Identifier
1295113355
Registry record updated Jul 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
DN1855408 Issued in MA
Legal business name
MISSION HILL DENTAL SERVICES
Practice address
780 Boylston St Apt 3C
Boston, MA 02199-7802
Phone
(617) 858-5019
NPI assigned
May 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2016

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

Authorized official

Name
Seullki Kim, D.M.D.
Title
President
Phone
(646) 342-3951

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ProsthodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0700X DN1855408 MA Primary

Addresses

Primary practice location

780 Boylston St Apt 3C
Boston, MA 02199-7802

Mailing address

780 Boylston St Apt 3C
Boston, MA 02199-7802
Phone (617) 858-5019

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1431129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467936000000",
    "number": "1295113355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 BOYLSTON ST APT 3C",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021997802",
            "telephone_number": "617-858-5019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 BOYLSTON ST APT 3C",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021997802",
            "telephone_number": "617-858-5019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION HILL DENTAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-09",
        "last_updated": "2016-07-08",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "SEULLKI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-342-3951",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "MA",
            "license": "DN1855408",
            "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 Jul 8, 2016; 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.