Dentistar PC

Primary specialty

DentistTaxonomy code 122300000X

License

DN21696 Issued in MA

Legal business name

DENTISTAR PC

Practice address

205 Harvard Ave
Allston, MA 02134-4617

Phone

(617) 396-8966

NPI assigned

Nov 28, 2016

Last updated

Nov 28, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Hyung Chan Cho

Title

President

Phone

(857) 753-6915

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1480291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480291200000",
    "number": "1457894321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 HARVARD AVE",
            "city": "ALLSTON",
            "state": "MA",
            "postal_code": "021344617",
            "telephone_number": "617-396-8966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 HARVARD AVE",
            "city": "ALLSTON",
            "state": "MA",
            "postal_code": "021344617",
            "telephone_number": "617-396-8966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTISTAR PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-28",
        "last_updated": "2016-11-28",
        "status": "A",
        "authorized_official_last_name": "CHO",
        "authorized_official_first_name": "HYUNG CHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "857-753-6915"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN21696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Degter
• Robin Diane Delaney
• Terri Ilana Deletetsky
• Yakaira Delvalle
• Sarah Marie Denardo
• Gabriel Desouza
• Jane Devanthery
• Meredith E Diamond
• Fatima Alexandra Diaz
• Jossie Mar Diaz

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2016; 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.