NPIMap

Organization Active NPI

Dr.Dental of Boston, P.C.

  • Dentist
  • Boston, MA
National Provider Identifier
1376811034
Registry record updated Dec 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
DR.DENTAL OF BOSTON, P.C.
Practice address
32 Tremont St
Boston, MA 02108-3201
Phone
(781) 420-9920
Fax
(978) 372-1988
NPI assigned
Dec 9, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2011

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

Authorized official

Name
Renee P McKain
Title
Manager
Phone
(781) 420-9920

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X MA Primary

Addresses

Primary practice location

32 Tremont St
Boston, MA 02108-3201

Mailing address

32 Tremont St
Boston, MA 02108-3201
Phone (781) 420-9920

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1323388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323388800000",
    "number": "1376811034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 TREMONT ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021083201",
            "telephone_number": "781-420-9920",
            "fax_number": "978-372-1988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 TREMONT ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021083201",
            "telephone_number": "781-420-9920",
            "fax_number": "978-372-1988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR.DENTAL OF BOSTON, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-09",
        "last_updated": "2011-12-09",
        "status": "A",
        "authorized_official_last_name": "MCKAIN",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "781-420-9920"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MA",
            "license": null,
            "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 Dec 9, 2011; 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.