Organization Active NPI

Alfred L. Kraft, D.M.D.

  • General Practice Dentistry
  • Boston, MA
National Provider Identifier
1376715227
Registry record updated Apr 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12730 Issued in MA
Legal business name
ALFRED L. KRAFT, D.M.D.
Practice address
25 New Chardon St
Boston, MA 02114-4774
Phone
(617) 227-4924
NPI assigned
Apr 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2008

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

Authorized official

Name
Carolynn Pelloux
Title
Office Manager
Phone
(617) 227-4924

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 12730 MA Primary

Addresses

Primary practice location

25 New Chardon St
Boston, MA 02114-4774

Mailing address

25 New Chardon St
Boston, MA 02114-4774
Phone (617) 227-4924

National Provider Directory

National Provider Directory

Locations

25 New Chardon St
Boston, MA 02114
Phone (617) 227-4924

NPI Registry JSON

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

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207008000000",
    "number": "1376715227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 NEW CHARDON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021144774",
            "telephone_number": "617-227-4924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 NEW CHARDON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021144774",
            "telephone_number": "617-227-4924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALFRED L. KRAFT, D.M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-01",
        "last_updated": "2008-04-01",
        "status": "A",
        "authorized_official_last_name": "PELLOUX",
        "authorized_official_first_name": "CAROLYNN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "617-227-4924"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "12730",
            "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 Apr 1, 2008; 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.