Individual provider Active NPI

Julie Ann Mitchell, D.M.D.

  • Prosthodontics
  • Boston, MA
National Provider Identifier
1457762569
Registry record updated Feb 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
DN1856491 Issued in MA
Practice address
175 Cambridge St Ste 310
Boston, MA 02114
Phone
(617) 720-0285
NPI assigned
May 12, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 12011703A IN
Prosthodontics 1223P0700X DN1856491 MA Primary

Addresses

Primary practice location

175 Cambridge St Ste 310
Boston, MA 02114

Mailing address

175 Cambridge St Ste 310
Boston, MA 02114-2796
Phone (617) 720-0285

Other practice location 1

300 Tradecenter Ste 1700
Woburn, MA 01801-1981
Phone (339) 645-9201

Other practice location 2

300 Tradecenter Ste 1700
Woburn, MA 01801-1981
Phone (339) 645-9201

Other practice location 3

1540 Beacon St
Brookline, MA 02446-2215
Phone (617) 738-1950

Other names 1

  • Dr. Julie Ann Adamczyk Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
12011703AINMDProsthodontist
DN1856491MAMDProsthodontist

NPI Registry JSON

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

{
    "created_epoch": "1399852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551139200000",
    "number": "1457762569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 CAMBRIDGE ST STE 310",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142796",
            "telephone_number": "617-720-0285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 CAMBRIDGE ST STE 310",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02114",
            "telephone_number": "617-720-0285"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Tradecenter Ste 1700",
            "address_purpose": "LOCATION",
            "city": "Woburn",
            "state": "MA",
            "postal_code": "018011981",
            "country_code": "US",
            "telephone_number": "339-645-9201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Tradecenter Ste 1700",
            "address_purpose": "LOCATION",
            "city": "Woburn",
            "state": "MA",
            "postal_code": "018011981",
            "country_code": "US",
            "telephone_number": "339-645-9201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1540 Beacon St",
            "address_purpose": "LOCATION",
            "city": "Brookline",
            "state": "MA",
            "postal_code": "024462215",
            "country_code": "US",
            "telephone_number": "617-738-1950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "JULIE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-12",
        "last_updated": "2019-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "IN",
            "license": "12011703A",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "MA",
            "license": "DN1856491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "ADAMCZYK",
            "middle_name": "ANN",
            "prefix": "DR.",
            "credential": "D.M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Feb 26, 2019; 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.