Active NPI
Joseph Upton III, M.D.
- Plastic and Reconstructive Surgery Physician
- Chestnut Hill, MA
National Provider Identifier
1376542191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- 41025
- Practice address
- 822 Boylston St
Chestnut Hill, MA 02467-2595 - Phone
- (617) 739-1972
- Fax
- (617) 739-6624
- NPI assigned
- Jul 14, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 41025 | MA | Primary |
Addresses
Primary practice location
822 Boylston St
Chestnut Hill, MA 02467-2595
Mailing address
PO Box 67191
Chestnut Hill, MA 02467-0002
Phone (617) 739-1972
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M09457 | Other | MA | BLUE CROSS BLUE SHIELD |
| 710353 | Other | MA | TUFTS |
| B77000BI | Other | MA | HARVARD PILGRIM |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- joseph.upton@1178.chartlogic.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552694400000",
"number": "1376542191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 67191",
"city": "CHESTNUT HILL",
"state": "MA",
"postal_code": "024670002",
"telephone_number": "617-739-1972",
"fax_number": "617-739-6624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "822 BOYLSTON ST",
"city": "CHESTNUT HILL",
"state": "MA",
"postal_code": "024672595",
"telephone_number": "617-739-1972",
"fax_number": "617-739-6624"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UPTON",
"first_name": "JOSEPH",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-14",
"last_updated": "2019-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "MA",
"license": "41025",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "M09457",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "710353",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "B77000BI",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
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 Mar 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.