NPIMap

Organization Active NPI

Hammond Pond Dental Group LLC

  • Dentist
  • Chestnut Hill, MA
National Provider Identifier
1386044972
Registry record updated Sep 2, 2014
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Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
MA20980 Issued in MA
Legal business name
HAMMOND POND DENTAL GROUP LLC
Practice address
822 Boylston St
Suite 200
Chestnut Hill, MA 02467-2595
Phone
(617) 739-8200
NPI assigned
Sep 2, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2014

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

Authorized official

Name
Dr. Richard Miller, DMD
Title
President
Phone
(617) 921-6292

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X MA20980 MA Primary

Addresses

Primary practice location

822 Boylston St
Suite 200
Chestnut Hill, MA 02467-2595

Mailing address

822 Boylston St
Suite 200
Chestnut Hill, MA 02467-2595

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1409616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409616000000",
    "number": "1386044972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 BOYLSTON ST",
            "address_2": "SUITE 200",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024672595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 BOYLSTON ST",
            "address_2": "SUITE 200",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024672595",
            "telephone_number": "617-739-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMMOND POND DENTAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-02",
        "last_updated": "2014-09-02",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-921-6292",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MA",
            "license": "MA20980",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 2, 2014; 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.