Organization Active NPI

Kristen Choe Dority, DMD, PC

  • Dental Clinic/Center
  • Boston, MA
National Provider Identifier
1447752563
Registry record updated Mar 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DN20595 Issued in MA
Legal business name
KRISTEN CHOE DORITY, DMD, PC
Doing business as
Parkside Dental Care
Practice address
37 Newbury St Ste 3
Boston, MA 02116-3428
Phone
(617) 426-5549
NPI assigned
Mar 5, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2018

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

Authorized official

Name
Kristen Dority
Title
President
Phone
(617) 426-5549

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DN20595 MA Primary

Addresses

Primary practice location

37 Newbury St Ste 3
Boston, MA 02116-3428

Mailing address

37 Newbury St Ste 3
Boston, MA 02116-3428
Phone (617) 416-4685

Other identifiers 1

IdentifierTypeStateIssuer
1518039973OtherMADENTAL

Other names 1

  • Parkside Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

37 Newbury St
Ste 3
Boston, MA 02116
Phone (617) 426-5549

NPI Registry JSON

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

{
    "created_epoch": "1520208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520208000000",
    "number": "1447752563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 NEWBURY ST STE 3",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021163428",
            "telephone_number": "617-416-4685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 NEWBURY ST STE 3",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021163428",
            "telephone_number": "617-426-5549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTEN CHOE DORITY, DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-05",
        "last_updated": "2018-03-05",
        "status": "A",
        "authorized_official_last_name": "DORITY",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-426-5549"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MA",
            "license": "DN20595",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL",
            "identifier": "1518039973",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parkside Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 5, 2018; 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.