Active NPI
Dtsuccessma Inc
- General Practice Physician
- Chestnut Hill, MA
National Provider Identifier
1376260026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- DTSUCCESSMA INC
- Doing business as
- DTSuccessma INC
- Practice address
- 36 Bryon Rd Apt 4
Chestnut Hill, MA 02467-3310 - Phone
- (617) 942-8463
- NPI assigned
- Oct 24, 2022
- Last updated
- Oct 24, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David Tilman
- Title
- Owner
- Phone
- (617) 642-6000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
36 Bryon Rd Apt 4
Chestnut Hill, MA 02467-3310
Mailing address
36 Bryon Rd Apt 4
Chestnut Hill, MA 02467-3310
Phone (617) 942-8463
Other names 1
- DTSuccessma INC
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666569600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1666569600000",
"number": "1376260026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36 BRYON RD APT 4",
"city": "CHESTNUT HILL",
"state": "MA",
"postal_code": "024673310",
"telephone_number": "617-942-8463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36 BRYON RD APT 4",
"city": "CHESTNUT HILL",
"state": "MA",
"postal_code": "024673310",
"telephone_number": "617-942-8463"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DTSUCCESSMA INC",
"organizational_subpart": "NO",
"enumeration_date": "2022-10-24",
"last_updated": "2022-10-24",
"certification_date": "2022-10-24",
"status": "A",
"authorized_official_last_name": "TILMAN",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "617-642-6000"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "DTSuccessma INC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Chestnut Hill, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.