Citidental PC

Primary specialty

DentistTaxonomy code 122300000X

License

18691 Issued in MA

Legal business name

CITIDENTAL PC

Practice address

63 Court St
Boston, MA 02108-2109

Phone

(617) 723-6300

Fax

(617) 723-1717

NPI assigned

Aug 24, 2010

Organization subpart

No

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

Authorized official

Name

Basel Badawi, DMD

Title

President

Phone

(617) 723-6300

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1282608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282608000000",
    "number": "1457667834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 COURT ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021082109",
            "telephone_number": "617-723-6300",
            "fax_number": "617-723-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 COURT ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021082109",
            "telephone_number": "617-723-6300",
            "fax_number": "617-723-1717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITIDENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-24",
        "last_updated": "2010-08-24",
        "status": "A",
        "authorized_official_last_name": "BADAWI",
        "authorized_official_first_name": "BASEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-723-6300",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MA",
            "license": "18691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Cirstea, M.D.
• Alexandra Flather-Morgan Cist, MD
• Alexandra Cisto, DPT
• Michelle Jean Ciszewski, MS, APRN-BC, ANP
• Citidenta Tremont PLLC
• Citidental, LLC
• City of Boston
• Cityblock Medical Practice Ma, PC
• Citywide Home Care, Inc.
• John Thomas Ciufo Jr., RPH

• Dentist in Boston, MA
• Providers in Boston, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2010; 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.