NPIMap

Organization Active NPI

Beacon Hill Dental Associates, PC

  • General Practice Dentistry
  • Boston, MA
National Provider Identifier
1356580922
Registry record updated Feb 5, 2009
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Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12044 Issued in MA
Legal business name
BEACON HILL DENTAL ASSOCIATES, PC
Practice address
77 Beacon St
Boston, MA 02108-3421
Phone
(617) 523-1910
Fax
(617) 227-8082
NPI assigned
Feb 5, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2009

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

Authorized official

Name
Stephen Roy Cohen, DDS
Title
President/Soul Share Holder
Phone
(617) 523-1910

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 12044 MA Primary

Addresses

Primary practice location

77 Beacon St
Boston, MA 02108-3421

Mailing address

77 Beacon St
Boston, MA 02108-3421
Phone (617) 523-1910

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1233792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233792000000",
    "number": "1356580922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 BEACON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021083421",
            "telephone_number": "617-523-1910",
            "fax_number": "617-227-8082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 BEACON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021083421",
            "telephone_number": "617-523-1910",
            "fax_number": "617-227-8082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON HILL DENTAL ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-05",
        "last_updated": "2009-02-05",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "ROY",
        "authorized_official_title_or_position": "PRESIDENT/SOUL SHARE HOLDER",
        "authorized_official_telephone_number": "617-523-1910",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "12044",
            "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 Feb 5, 2009; 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.