Route 9 Dental LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

ROUTE 9 DENTAL LLC

Practice address

25 Boylston St Ste L15
Chestnut Hill, MA 02467-1715

Phone

(617) 612-5022

NPI assigned

Feb 4, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Amita Agarwal, DDSNPI 1184084683

Title

Owner

Phone

(617) 612-5022

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amita Agarwal, DDS

  • Dentist
  • Boston, MA
  • NPI 1184084683
  NPD Authorized official

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

{
    "created_epoch": "1643932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643932800000",
    "number": "1427702802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 ELIOT ST",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024671408",
            "telephone_number": "617-612-5022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 BOYLSTON ST STE L15",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024671715",
            "telephone_number": "617-612-5022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROUTE 9 DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-04",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A",
        "authorized_official_last_name": "AGARWAL",
        "authorized_official_first_name": "AMITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-612-5022",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bruce R Rosengard, MD
• Karina Ross
• Richard Owen Rossi
• Jonathan Rotenberg, LCSW
• Renee Rotman, NP
• Manar Roy
• Amy Jennings Rubin, PT
• Audrey Rubin, M.D.
• Carol Rubin, PHD
• Meghan Lorraine Rudder, M.D.

• Dentist in Chestnut Hill, MA
• Providers in Chestnut Hill, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; 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.