Active NPI
Mark A Lerman, DMD
- Oral and Maxillofacial Pathology Dentistry
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Pathology Dentistry
- License
- 21698
- Practice address
- 1 Kneeland St RM 646
Boston, MA 02111-1527 - Phone
- (617) 636-6510
- NPI assigned
- Oct 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 21698 | MA | |
| Oral and Maxillofacial Pathology Dentistry | 1223P0106X | 21698 | MA | Primary |
Addresses
Primary practice location
1 Kneeland St RM 646
Boston, MA 02111-1527
Mailing address
1 Kneeland St RM 646
Boston, MA 02111-1527
Phone (617) 636-6510
Other practice location 1
75 Francis St
Boston, MA 02115-6110
Phone (617) 732-7001
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
Care Compare profile
Medicare Care Compare- Specialty
- Oral and Maxillofacial Pathology
- Education
- Tufts University School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Kneeland St
Boston, MA 02111-1527
Phone (617) 636-6828
200 Harrison Ave
2CD Floor
Boston, MA 02111-1527
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21698 | MA | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trustees of Tufts College | Current | Accepting new patients |
Locations
1 Kneeland St
#646
Boston, MA 02111
Phone (617) 636-6510
1 Kneeland St
Boston, MA 02111
Phone (617) 636-6515
1 Kneeland St
Fl 6
Boston, MA 02111
Phone (617) 636-3932
1 Kneeland St
Rm 646
Boston, MA 02111
Phone (617) 636-6510
Organizations & group practices 1
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588204800000",
"number": "1295819217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 KNEELAND ST RM 646",
"city": "BOSTON",
"state": "MA",
"postal_code": "021111527",
"telephone_number": "617-636-6510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 KNEELAND ST RM 646",
"city": "BOSTON",
"state": "MA",
"postal_code": "021111527",
"telephone_number": "617-636-6510"
}
],
"practiceLocations": [
{
"address_1": "75 Francis St",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021156110",
"country_code": "US",
"telephone_number": "617-732-7001",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LERMAN",
"first_name": "MARK",
"middle_name": "A",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-25",
"last_updated": "2020-04-30",
"certification_date": "2020-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "MA",
"license": "21698",
"primary": false
},
{
"code": "1223P0106X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Pathology",
"state": "MA",
"license": "21698",
"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 30, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.