Organization Active NPI

Dtsuccessma Inc

  • General Practice Physician
  • Chestnut Hill, MA
National Provider Identifier
1376260026
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2022

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.