Active NPI
Julie Ann Mitchell, D.M.D.
- Prosthodontics
- Boston, MA
National Provider Identifier
1457762569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- DN1856491
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 12011703A | IN | MD | Prosthodontist |
| DN1856491 | MA | MD | Prosthodontist |
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.