Active NPI
Kristen Choe Dority, DMD, PC
- Dental Clinic/Center
- Boston, MA
National Provider Identifier
1447752563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- DN20595
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518039973 | Other | MA | DENTAL |
Other names 1
- Parkside Dental Care
National Provider Directory
National Provider DirectoryLocations
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.