Organization Active NPI

Copley Dental Emergency Care

  • Clinic/Center
  • Boston, MA
National Provider Identifier
1306259692
Registry record updated Jun 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
COPLEY DENTAL EMERGENCY CARE
Practice address
551 Boylston St
Suite 501
Boston, MA 02116-3605
Phone
(617) 275-0900
NPI assigned
Jun 4, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2014

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

Authorized official

Name
Dr. Charles Badaoui, DMD
Title
President
Phone
(617) 275-0900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

551 Boylston St
Suite 501
Boston, MA 02116-3605

Mailing address

551 Boylston St
Suite 501
Boston, MA 02116-3605
Phone (617) 275-0900

National Provider Directory

National Provider Directory

Locations

551 Boylston St
Ste 501
Boston, MA 02116
Phone (617) 424-6666

NPI Registry JSON

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

{
    "created_epoch": "1401840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401840000000",
    "number": "1306259692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 BOYLSTON ST",
            "address_2": "SUITE 501",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021163605",
            "telephone_number": "617-275-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 BOYLSTON ST",
            "address_2": "SUITE 501",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021163605",
            "telephone_number": "617-275-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COPLEY DENTAL EMERGENCY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-04",
        "last_updated": "2014-06-04",
        "status": "A",
        "authorized_official_last_name": "BADAOUI",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-275-0900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "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 Jun 4, 2014; 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.