NPIMap

Organization Active NPI

Boneguard Orthopedics, P.C.

  • Orthopaedic Surgery Physician
  • Randolph, MA
National Provider Identifier
1457554727
Registry record updated Jan 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
151848 Issued in MA
Legal business name
BONEGUARD ORTHOPEDICS, P.C.
Practice address
999 North Main Street
Randolph, MA 02368-3072
Phone
(781) 961-6784
Fax
(781) 961-1127
NPI assigned
Jun 6, 2007
Last updated
Jan 20, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
BONEGUARD ORTHOPEDICS, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 20, 2012

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

Authorized official

Name
Dr. Olarewaju James Oladipo, M.D.NPI 1841350386
Title
Surgeon
Phone
(781) 961-6784

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 151848 MA Primary

Addresses

Primary practice location

999 North Main Street
Randolph, MA 02368-3072

Mailing address

999 North Main Street
Randolph, MA 02368-3072
Phone (781) 961-6784

Other identifiers 1

IdentifierTypeStateIssuer
3169740MedicaidMA

National Provider Directory

National Provider Directory
Part of
Orthopedic Surgery Re

Locations

999 N Main St
Randolph, MA 02368
Phone (781) 961-1330

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327017600000",
    "number": "1457554727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 NORTH MAIN STREET",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023683072",
            "telephone_number": "781-961-6784",
            "fax_number": "781-961-1127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 NORTH MAIN STREET",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023683072",
            "telephone_number": "781-961-6784",
            "fax_number": "781-961-1127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONEGUARD ORTHOPEDICS, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BONEGUARD ORTHOPEDICS, P.C.",
        "enumeration_date": "2007-06-06",
        "last_updated": "2012-01-20",
        "status": "A",
        "authorized_official_last_name": "OLADIPO",
        "authorized_official_first_name": "OLAREWAJU",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "SURGEON",
        "authorized_official_telephone_number": "781-961-6784",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MA",
            "license": "151848",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3169740",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Randolph, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2012; 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.