Active NPI
Paul Mathew, DDS
- General Practice Dentistry
- Boston, MA
National Provider Identifier
1437277761
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 20749
- Practice address
- 21 Bay State Rd
Boston, MA 02215-2101 - Phone
- (617) 247-9966
- Fax
- (617) 266-0679
- NPI assigned
- Mar 26, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 20749 | MA | Primary |
Addresses
Primary practice location
21 Bay State Rd
Boston, MA 02215-2101
Mailing address
91 Westland Ave Apt 107
Boston, MA 02115-3826
Phone (617) 923-7294
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20749 | MA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jack J. Klausner DDS, PC | General Practice | Past | Accepting new patients |
| Back Bay Dental Group LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- Boston, MA
- NPI 1063758639
-
- General Practice Dentistry
- Boston, MA
- NPI 1326121138
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1437277761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "91 WESTLAND AVE APT 107",
"city": "BOSTON",
"state": "MA",
"postal_code": "021153826",
"telephone_number": "617-923-7294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 BAY STATE RD",
"city": "BOSTON",
"state": "MA",
"postal_code": "022152101",
"telephone_number": "617-247-9966",
"fax_number": "617-266-0679"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHEW",
"first_name": "PAUL",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MA",
"license": "20749",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.