Jack J. Klausner DDS, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JACK J. KLAUSNER DDS, PC

Doing business as

Back Bay Dental Care

Practice address

21 Bay State Rroad
Boston, MA 02215

Phone

(617) 247-9966

Fax

(617) 266-0679

NPI assigned

Oct 23, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jack J Klausner, DDSNPI 1952331639

Title

Owner

Phone

(617) 247-9966

Specialties & licenses 1

Addresses

Other names 1

• Back Bay Dental Care Doing business as

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jack J Klausner, DDS

  • Dentist
  • Boston, MA
  • NPI 1952331639
  NPD (past) Authorized official
• Maryam Douraghy, DMD

  • General Practice Dentistry
  • Boston, MA
  • NPI 1689793788
  NPD (past)
• Paul Mathew, DDS

  • General Practice Dentistry
  • Boston, MA
  • NPI 1437277761
  NPD (past)

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326121138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 BAY STATE RD",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022152101",
            "telephone_number": "617-247-9096",
            "fax_number": "617-266-0679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 BAY STATE RROAD",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02215",
            "telephone_number": "617-247-9966",
            "fax_number": "617-266-0679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACK J. KLAUSNER DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KLAUSNER",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-247-9966",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Back Bay Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alyssa Jacavone, CNP
• Heather Alison Jacene, M.D.
• Bozena R Jachna, M.D.
• Jack B Share DDS
• Jack B Share DDS PC
• Brian W Jack, M.D.
• David M Jackman, M.D.
• Stephanie Suzanne Jackman, MD
• Mary Lane Jackmin, PA-C
• Tourino Jacks

• General Practice Dentistry in Boston, MA
• Providers in Boston, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.