Nicholas Ray Baldelli

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DL11950 Issued in MA

Practice address

100 E Newton St
Boston, MA 02118-2308

Phone

(617) 638-4700

NPI assigned

Jul 1, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1372636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372982400000",
    "number": "1376983635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 MASSACHUSETTS AVE",
            "address_2": "APT. 205",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021153051",
            "telephone_number": "401-474-1613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E NEWTON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182308",
            "telephone_number": "617-638-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDELLI",
        "first_name": "NICHOLAS",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-01",
        "last_updated": "2013-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DL11950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Varshini Balasubramanian
• Soleen Balata
• Tracy A Balboni, M.D., M.P.H.
• Steven Nicholas Baldassano, MD
• Johanna P Baldassari, NP
• Elizabeth H Baldini, MD , MPH
• Christian Aurelio Baldino, LMHC
• Annmarie Baldwin, NP-C
• Grace Elizabeth Baldwin, MD
• Marielle C Baldwin, MD

• General Practice Dentistry in Boston, MA
• Providers in Boston, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2013; 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.