NPIMap

Organization Active NPI

DPB Fort Point, LLC

Doing business as Dental Partners of Boston at Fort Point

  • Periodontics
  • Boston, MA
National Provider Identifier
1447828439
Registry record updated Jun 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
DPB FORT POINT, LLC
Doing business as
Dental Partners of Boston at Fort Point
Practice address
46 Farnsworth St
Boston, MA 02210-1211
Phone
(617) 259-1100
NPI assigned
Jun 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2021

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

Authorized official

Name
Dr. Sergio A. Guzman, DMD., MSD.NPI 1649209487
Title
Managing Member
Phone
(617) 259-1118

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223E0200X
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X Primary
ProsthodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0700X

Addresses

Primary practice location

46 Farnsworth St
Boston, MA 02210-1211

Mailing address

800 Boylston St Ste 200
Boston, MA 02199-8081
Phone (617) 259-1100

Other names 1

  • Dental Partners of Boston at Fort Point Doing business as

National Provider Directory

National Provider Directory

Locations

800 Boylston St
Ste 200
Boston, MA 02199
Phone (617) 259-1100

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1623715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623715200000",
    "number": "1447828439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 BOYLSTON ST STE 200",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021998081",
            "telephone_number": "617-259-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 FARNSWORTH ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022101211",
            "telephone_number": "617-259-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DPB FORT POINT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-15",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A",
        "authorized_official_last_name": "GUZMAN",
        "authorized_official_first_name": "SERGIO",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "617-259-1118",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD., MSD."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Partners of Boston at Fort Point",
            "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 Jun 15, 2021; 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.