Individual provider Active NPI

Heather McCaslin Kempczinski, MD

  • Pediatrics Physician
  • Boston, MA
National Provider Identifier
1346871381
Registry record updated Jan 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
227107 Issued in NY
Practice address
360 Beacon St Apt 1
Boston, MA 02116-1063
Phone
(914) 391-8671
NPI assigned
Jan 29, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 227107 NY Primary

Addresses

Primary practice location

360 Beacon St Apt 1
Boston, MA 02116-1063

Mailing address

360 Beacon St Apt 1
Boston, MA 02116-1063
Phone (914) 391-8671

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.heatherkempczinski.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
227107NYMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1580256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580256000000",
    "number": "1346871381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 BEACON ST APT 1",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021161063",
            "telephone_number": "914-391-8671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 BEACON ST APT 1",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021161063",
            "telephone_number": "914-391-8671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMPCZINSKI",
        "first_name": "HEATHER",
        "middle_name": "MCCASLIN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-29",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "227107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.heatherkempczinski.com",
            "affiliation": "N",
            "endpointDescription": "Physician",
            "address_1": "360 Beacon St Apt 1",
            "city": "Boston",
            "state": "MA",
            "country_code": "US",
            "postal_code": "021161063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jan 29, 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.