NPIMap

Organization Active NPI

Brookline Dental Associates LLC

  • Prosthodontics
  • Brookline, MA
National Provider Identifier
1326419524
Registry record updated Oct 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
DN1855505 Issued in MA
Legal business name
BROOKLINE DENTAL ASSOCIATES LLC
Practice address
209 Harvard St Ste 502
Brookline, MA 02446-5005
Phone
(617) 731-1200
Fax
(617) 731-1215
NPI assigned
Oct 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2015

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

Authorized official

Name
Nitin B Khankari, D.M.D., M.S.
Title
Prosthodontist
Phone
(617) 331-1858

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ProsthodonticsGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0700X DN1855505 MA Primary

Addresses

Primary practice location

209 Harvard St Ste 502
Brookline, MA 02446-5005

Mailing address

209 Harvard St Ste 502
Brookline, MA 02446-5005
Phone (617) 731-1200

National Provider Directory

National Provider Directory

Locations

209 Harvard St
Ste 502
Brookline, MA 02446
Phone (617) 731-1200

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1444780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444780800000",
    "number": "1326419524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 HARVARD ST STE 502",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024465005",
            "telephone_number": "617-731-1200",
            "fax_number": "617-731-1215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 HARVARD ST STE 502",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024465005",
            "telephone_number": "617-731-1200",
            "fax_number": "617-731-1215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKLINE DENTAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-14",
        "last_updated": "2015-10-14",
        "status": "A",
        "authorized_official_last_name": "KHANKARI",
        "authorized_official_first_name": "NITIN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PROSTHODONTIST",
        "authorized_official_telephone_number": "617-331-1858",
        "authorized_official_credential": "D.M.D., M.S."
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "MA",
            "license": "DN1855505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookline, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2015; 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.