NPIMap

Individual provider Active NPI

Dennis James Teehan Jr., M.D

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • Boston, MA
National Provider Identifier
1306006945
Registry record updated Jun 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X
License
250272 Issued in MA
Practice address
665 Huntington Ave
Boston, MA 02115-6021
Phone
(617) 432-3327
NPI assigned
Jun 16, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X 250272 MA Primary
General Practice Physician 208D00000X 250272 MA

Addresses

Primary practice location

665 Huntington Ave
Boston, MA 02115-6021

Mailing address

199 Madison St
Dedham, MA 02026-5009
Phone (781) 771-7268

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121105000373 MA Practitioner - Preventive MedicinePractitioner - General Practice 7911158787 Reassigns benefits to 3 organizations
Practice locations: Dedham, MA

Care Compare profile

Medicare Care Compare
Specialty
Preventive MedicineAlso: General Practice
Education
Tufts University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

200 Providence Hwy
Suite 203
Dedham, MA 02026-1881
Phone (781) 326-1464

Hospital & facility affiliations

  • Mass General Brigham Home Care, Inc Home health agency, Newton, MA, CCN 227207
  • Hebrew Seniorlife - Home Health Care Home health agency, Dedham, MA, CCN 227422
  • Beth Israel Deaconess Hospital - Needham Hospital, Needham, MA, CCN 220083
  • Beth Israel Deaconess Medical Center Hospital, Boston, MA, CCN 220086
  • Brigham and Women Faulkner Hospital Hospital, Jamaica Plain, MA, CCN 220119

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
250272MAMDPreventive Medicine/Occupational Environmental Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group, Inc CurrentSince Apr 30, 2019 Accepting new patients
Brigham & Womens Physicians Organization Inc CurrentSince Feb 15, 2022 Accepting new patients
Steward Medical Group, Inc CurrentSince Apr 30, 2019 Accepting new patients
Greater Boston Wellness Physicians Preventive Medicine/Occupational Environmental Medicine PastSince Jul 30, 2015 Accepting new patients

Locations

75 Francis St
Boston, MA 02115

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

200 Vfw Pkwy
Dedham, MA 02026
Phone (781) 326-1464

246 Walnut St
Ste 104
Newtonville, MA 02460
Phone 6172443322104

315 Norwood Park S
Norwood, MA 02062
Phone (781) 255-0770

800 Washington St
Norwood, MA 02062
Phone (781) 278-6264

Interoperability endpoints

  • Direct secure messaging: dennis.teehan@gbim.eclinicaldirectplus.com

Organizations & group practices 5

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403827200000",
    "number": "1306006945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 MADISON ST",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "020265009",
            "telephone_number": "781-771-7268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 HUNTINGTON AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021156021",
            "telephone_number": "617-432-3327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEEHAN",
        "first_name": "DENNIS",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-16",
        "last_updated": "2014-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "MA",
            "license": "250272",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MA",
            "license": "250272",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.