Organization Active NPI

William G. Pappas, D.M.D, PC

  • General Practice Dentistry
  • Roslindale, MA
National Provider Identifier
1306156229
Registry record updated Oct 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11648 Issued in MA
Legal business name
WILLIAM G. PAPPAS, D.M.D, PC
Practice address
893 South St
Roslindale, MA 02131-2411
Phone
(617) 323-3443
Fax
(617) 323-3350
NPI assigned
Oct 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2010

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

Authorized official

Name
Yashira Borrero
Title
Financial Cordinator
Phone
(617) 323-3443

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 11648 MA Primary

Addresses

Primary practice location

893 South St
Roslindale, MA 02131-2411

Mailing address

893 South St
Roslindale, MA 02131-2411
Phone (617) 323-3443

Other identifiers 4

IdentifierTypeStateIssuer
1952415655OtherSPECIALIST
1760498422OtherSPECIALIST
1154545168OtherSPECIALIST
1861502460OtherGENERAL DENTIST

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1286928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286928000000",
    "number": "1306156229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "893 SOUTH ST",
            "city": "ROSLINDALE",
            "state": "MA",
            "postal_code": "021312411",
            "telephone_number": "617-323-3443",
            "fax_number": "617-323-3350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "893 SOUTH ST",
            "city": "ROSLINDALE",
            "state": "MA",
            "postal_code": "021312411",
            "telephone_number": "617-323-3443",
            "fax_number": "617-323-3350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM G. PAPPAS, D.M.D, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-13",
        "last_updated": "2010-10-13",
        "status": "A",
        "authorized_official_last_name": "BORRERO",
        "authorized_official_first_name": "YASHIRA",
        "authorized_official_title_or_position": "FINANCIAL CORDINATOR",
        "authorized_official_telephone_number": "617-323-3443"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "11648",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECIALIST",
            "identifier": "1952415655",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECIALIST",
            "identifier": "1760498422",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECIALIST",
            "identifier": "1154545168",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GENERAL DENTIST",
            "identifier": "1861502460",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roslindale, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.